Kentucky Center For Smoke-Free Policy E-Mails Part 7

Spagnuolo.
Amy R
From:
Sent:
To:
Subject:
Johnson, John D
Friday, December 17,20101:02 PM
Hahn, Ellen J
RE: KCSP Community Partner Newsletter
Good question -I see the spacing and indentation issues, but those issues are not there in the Word version or in my
original email.sol.m not sure why that happens. I've made a note to check on that in the next newsletter. I also may
put my gmail account on the distribution list to see if different email clients "interpret" the email differently.
John
From: Hahn, Ellen J
Sent: Friday, December 17, 2010 12:55 PM
To: Johnson, John D
Subject: RE: KC5P Community Partner Newsletter
FYl...the formatting on mine was a bit weird .... is this just variable or can we fix it for next time? See below.
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.ukV.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmokeJree on Twitter and Facebook !
COLLEGE OF NURSING
OUf it? to Hr:;jp 'YQU jilQtl\j,%t
From: Johnson, John D
Sent: Friday, December 17, 2010 12:47 PM
To: Johnson, John D
Subject: KC5P Community Partner Newsletter
KENTUCKY CENTER FOR SMOKE-FREE POLICY
Community Partner Newsletter
December 2010
1

Smoke-free Communities: Good/or People. Good/or Business
Find us on Facehook: Kysmakeltee
Welcome to the Kentucky Center for Smoke-Free Policy (KCSP) Community Partners' Newsletterl
HAPPY HOLIDAYS FROM THE KCSP TEAM!
WE CELEBRATE YOUR COMMITMENT TO SMOKE-FREE AIR
AND WISH YOU A HAPPY NEW YEAR!
This Newsletter contains:
1. Smoke-free Policy Updates
e Campbell County goes smoke-free!
e 1
st
Smoke-free Kentucky Coalition Meeting held in Louisville, 12/13/10
2. Smoke-free Research Updates
e Summary of the article, Surgeon General's Executive Summary: How Tobacco Smoke Causes Disease
3. Opposition Watch
e Mike Deters: Self-appointed Watchdog
4. Save these Dates
e State Smoke-free Kick Off-January 6, 2011
e
e
Smoke-free Summit Webinar-January 14, 2011
Smoke-free Spring Conference-March 24, 2011
S. Take Action by January 11, 2011---U.S. Food and Drug (FDA) Proposed Cigarette Product Warning
Labels
Please scroll down for more information on each topic!
Smoke-free Policy Updates
Campbell County Goes Smoke-free!
Congratulations to Northern Kentucky ACTION. Campbell County Fiscal Court enacted a comprehensive smoke-free
workplace ordinance, 3-1 on December 15, 2010, after many years of persistent and effective advocacy by Northern
Kentucky ACTION.
2
Implementation is scheduled for April 15, 2011. Campbell County joins 27 other Kentucky communities to lead on public
health. Campbell County will be the lS
th
Kentucky community with a comprehensive smoke-free workplace ordinance or
regulation.
Kenton County Fiscal Court's smoke-free ordinance goes to second reading on December 21,2010. If enacted, the
Kenton County ordinance will also go into effect on April 15, 2011.
First Smoke-free Kentucky Coalition Meeting held in Louisville, December 13, 2010
Approximately 40 hardy souls braved the weather to attend the first Smoke-Free Kentucky coalition meeting in
Louisville. Most of the expected 125 participants were unable to attend due to snow and ice.
A major theme of the meeting was the importance of moving local smoke-free policies forward while educating the
public and policymakers about the eventual need for statewide legislation so that all Kentuckians are protected from
secondhand smoke. More strong local smoke-free laws are essential for effective passage and implementation of a
100% smoke-free state law.
For those who missed the Summit, plan to attend the webinar on January 14, 2011 (see below for Save the Dates).
Smoke-free Research Updates
U.S. Department of Health and Human Services. How Tobacco Smoke Causes Disease: The Biology and Behavioral
Basis for Smoking-Attributable Disease: A Report of the Surgeon General. Atlanta, GA: U.S. Department of
Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease
Prevention and Health Promotion, Office on Smoking and Health, 2010.
The new Surgeon General's report provides the strongest evidence yet of the negative effects of tobacco smoke,
especially related to length of exposure to tobacco smoke and damage to DNA. Even brief exposure to tobacco smoke
causes immediate harm that can lead to illness and premature death. Exposure to tobacco smoke can lead to cancer,
heart attacks/disease and lung disease through damage to the DNA and blood vessels, and inflammation of the lining of
the lungs. The report also casts doubt on the effectiveness of product modification and harm reduction strategies for
changing population health outcomes.
Collaborating with the Center for Disease Control as well as the World Health Organization and the Food and Drug
Administration, the report outlines the MPOWER approach which can be adapted to the local, state and national levels
to monitor tobacco consumption, protect people from secondhand smoke, offer quit assistance to smokers, warn
consumers about the dangers of tobacco, enforce restrictions on tobacco and raise taxes and prices on tobacco
products.
The report applauds states and locales that have enacted smoke-free laws and policies and pledges that
the Department of Health and Human Services will continue to support and push for tougher legislation on
tobacco products.
Executive Summary: http://www.surgeongeneral.gov/librarv!tobaeeosmoke/report!executivesummary.pdf
Lay Version: http://www.cde.gov!tobaeeo!datastatistics!sgr!2010!eonsumerbooklet!index.htm
Full Report: http://www.surgeongeneral.gov/librarv/tobaeeosmoke!report!full report.pdf
OppOSition Watch
Mike Deters: Self-appointed Watchdog
3
The recent move by Kenton and Campbell counties to enact smoke-free laws has prompted persistent
opposition by individuals who wish to leave this decision up to individual business owners. The opposition
claims that smoke-free laws are an unnecessary intrusion of the government and that businesses will be
harmed by this legislation. Mr. Deters, an attorney, is one ofthe opposition voices in Kenton County. Mr.
Deters vehemently believes that government has no right to intrude into our lives and that the decision to
allow smoking or not, should be in the hands of individual business owners. The Kentucky Supreme Court has
ruled that government has the right and manifest duty to protect the public health, and that smoke-free laws
are a reasonable use of government powers.
For more information on Mr. Deter's opinions on smoking and other topics, please visit:
http://www.ericdeters.com/index.php?option..Com
Save these Dates
Mark your calendars!
January 6, 2011 is the Statewide Smoke-free Kick Off in the Capitol Rotunda in Frankfort at 1:00PM .
. January 14, 2011 is the Smoke-free Summit Webinar at 10:00 AM ET, for those who missed it due to
inclement weather. Details to follow.
March 24, 2011 is the annual Smoke-free Spring conference. The conference will be held at the Griffin
Gate Marriott Resort and Spa, located at 1800 Newtown Pike, Lexington, KY 40511. Stay tuned for registration
materials in 2011! Contact KCSP to reserve your seat.
U.S. Food and Drug (FDA) Proposed Cigarette Product Warning Labels
In November, the u.s. Health and Human Services and FDA announced a proposed rule to require new and
prominent health warnings on all cigarette packages, cartons and advertisements. The inclusion of larger and more
noticeable graphic health warnings will clearly and effectively convey the negative health consequences of smoking to
educate all Americans about the health risks of cigarettes.
FDA is seeking public comment on the proposed rule from Friday, November 12, 2010 through Tuesday, January
11,2011. The submitted comments will be officially considered in the final warnings which will be Issued by June 22,
201l.
You are encouraged to submit an official comment during the comment period:
Go to www.regulations.gov and insert docket number FDA-2010-N-0568 into the "search" box and follow the
prompts.
Send a fax, with your comments, to 301-827-6870.
Mail/Hand delivery/Courier (for paper, disk, or CD-ROM submissions) to the Division of Dockets Management
(HFA-305), Food and Drug Administration, 5630 Fishers Lane, Room 1061, Rockville, MD 20852.
All comments should be identified by Docket ID No. FDA-2010-N-0568. Please send only one set of comments.
Feedback
If you have any comments or suggestions regarding the KCSP Community Partners' Newsletter, or would like to suggest
future content for the newsletter, please let us know! We would love to hear your feedback kcspOO@lsv.uky.edu or
contact John Johnson jdjohnson@uky.edu, 859-323-4587.
4
Voluntary Participation
The KCSP Community Partners' distribntion list is intended to provide pertinent information to local tobacco control
community advocates in Kentncky. If you have received this newsletter in error or wish to be removed from the list,
please reply to this email with REMOVE in the subject headline.
John D. Johnson, MA
Community Liaison
Kentucky Center for Smoke-free Policy
University of Kentucky College of Nursing
751 Rose Street, College of Nursing 509
Lexington, Kentucky 40536-0232
859-323-4587
859-323-1057 (FAX)
jdjohnson@uky.edu
www.kcsp.uky.edu
5
Spagnuolo. Amy R
Sent:
To:
Friday, December 17, 2010 8:11 AM
Hahn, Ellen J
Subject: RE: Morgan Co.
Yes, I'll get in touch with Betsy today.
The readiness report for Morgan indicated the overall score of 2.215. That's what it says -I'm going to need some
training to understand the meaning of that score
From: Hahn, Ellen J
Sent: Thursday, December 16, 2010 5:06 PM
To: Johnson, John D
Cc: Riker, Carol A
Subject: Morgan Co.
And what did it say? Can we reach out to this guy and hook him with a coalition or tobacco coordinator? John, can you
please close the loop with Betsy and see if she is following up or wants us to? Get his contact info if we need to follow
up.
ellen
751 Rose Street
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.kcsp.uky.edu
Find kysmokefree on Twitter and Facebook !
COLLEGE OF NURSING
Ou I" Go;)1 isle Hell) You :RC)C1If7.01'bur",
Sent: Tuesday, December 07, 2010 10:05 AM
To: Hahn, Ellen J
Cc: Riker, Carol A
Subject: RE: county government-owned buildings
It looks like there was an assessment done for Morgan, but I didn't see a date.
1
John
From: Hahn, Ellen J
Sent: Thursday, December 02, 2010 6:39 AM
To: anthonys.lockard@att.blackberry.net
Cc: Riker, Carol Ai Johnson, John D
Oh dear. I will be interested in hearing more about this. An upcoming trend. Carol/John, please let Bronson and Maggie
know that the amendment passed (and we do need a copy of it so we can update our ordinance data base).
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.mc.ukv.edu/tobaccopolicy
www.kcsp.uky.edu
COLLEGE OF NURSING
Qu r Gt."f.l! !s tJ YQ1J
From: anthonys.lockard@att.blackberry.net [mailto:anthonys.lockard@att.blackberry.net]
To: Hahn, Ellen J
Subject: Re: county government-owned buildings
One member of the group actually used his e cigarette on the sidelines of the meeting. The room was so packed
the BOH or HD people could not see what he was doing.
Sent via BlackBerry by AT&T
------_.---_._-
From: "Hahn, Ellen J" <tjhahnOO@email.uky.edu>
Date: Thu, 2 Dec 2010 06:22:51 -0500
To: anthonys.lockard@att.blackberry.net <rulthonys .lockard@att.blackberry.net>, Betsy
Janes <betsyj@kylung.org>, Tonya.chang@heart.org<I'onya.chang@heart.org>,
Jamesmsizemore@windstream.net <f amesmsizemore@windstream.net>'
Brandi.gilley@gmail.com <Brandi.gilley@gmail.com>,
hoperoadwellness@hotmail.com<hoperoadwellness@hotmail.com>,
icenters@roadrunner.com <lcenters@roadrunner.com>, Eric.evans@cancer.org<Eric.evans@cancer.org>,
2
jredmond@kycancerc.org.gredmond@kycancerc.org>: James .sharp@cancer.org<James.sharp@cancer.org >:
Kercsmar, Sarah <scave2@email.uky.edu>: abarkley@tobaccofreekids.org 41barkley@tobaccofreekids.org>:
Wagner, Kristian K 4d<:wagn3@uky.edu>
Cc: Johnson, John D .gdjohnson@uky.edu>
Scott,
This is GREAT news! 1 was anxious to hear about the outcome at Madison County. Our staff had put together materials
for the BOH on e-cigarettes, as well as other legal issues. We were all keeping our fingers crossed. John, Scott has a great
suggestion and one you could share with Betsy's contact.
Thanks,
Ellen
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
COLLEGE OF NURSING
OU r GOBI Is to HGlp YOlt tHOE,HzG Yl1Ufl"
sent: Thursday, December 02, 2010 6:18 AM
To: Hahn, Ellen J; Betsy Janes; Tonya.chang@heart.org; Jamesmsizemore@windstream.neti Brandi.gilley@gmail.com;
hoperoadwellness@hotmail.com; icenters@roadrunner.com; Eric.evans@cancer.org; jredmond@kycancerc.org;
James.sharp@cancer.org; Kercsmar, Sarah; abarkley@tobaccofreekids.org; Wagner, Kristian K
Cc: Johnson, John D
Good morning,
Sometimes all that has to be done is to bring the situation to the fiscal court's attention. This is what happened in
Wolfe Co. One citizen went to a fiscal court meeting and raised the issue. The fiscal court discussed it and voted
to make the courthouse smoke free. I would encourage the individual to attend a fiscal court meeting and share
his concerns with his elected leaders to see what kind of response Judge Conley gives. If Wolfe can do it, it is
possible anywhere.
I attended the Madison Co first reading last night of their strengthened regulation. There was a group there that
touted e-cigarettes as an effectIve means to help smokers quit. Their main argument was .that they did not give
off any secondhand smoke or vapor that harmed others. The board held firm and the reg passed.
Scott
3
From: "Hahn, Ellen J" <ejhahnOO@email.uky.edu>
Date: Wed, 1 Dec 2010 08:27:36 -0500

To: Betsy Janes <betsyj@kylung.org Tonya.chang@heart.org
J amesmsizemore@windstream.net <ramesmsizemore@windstream.net
Brandi.gilley@gmail.com <Brandi.gilley@ gmail.com
hoperoadwellness@hotmail.com <iJ.Operoadwellness@hotmail.com
icenters@roadrunner.com <!.centers@roadnmner.com Eric.evans@cancer.org <Eric.evans@cancer.org
jredmond@kycancerc.org <jredmond@kycancerc.org James.sharp@cancer.org <r ames.sharp@cancer.org
Kercsmar, Sarah <Scave2@email.uky .edu
anthonys .lockard@att.blackberry.net <anthonys .lockard@att.blackberry .net
abarkley@tobaccofreekids.org <abarkley@tobaccofreekids.org Wagner,Kristian K <kkwagn3@uky.edu>
Cc: Johnson, John D <jdjohnson@uky.edu>
Good morning,
Betsy, if you want to send along his name and contact info, we are happy to conduct a community readiness assessment
with him and connect him with the tobacco control program. I am not aware of any smoke-free efforts in Morgan
County, but we will explore further. I am cc: John so he can take a look in our files.
County buildings are under the jurisdiction of the county government. Unless the fiscal court enacts an ordinance
making government buildings smoke-free (or better yet, a smoke-free law including all county government buildings),
the only other option is to evoke the ADA. We have had success with ADA letters sent to the county officials. The person
initiating the letter must be sure to have a doctor-confirmed diagnosis that confirms that he is breathing disabled. Often,
just sending the letter about the ADA violation is enough to spur county governments to make their government
buildings smoke-free. We would be happy to help him with this.
State buildings are under the jurisdiction of state law (thus, the Frankfort ordinance does not cover state or federal
buildings; nor does it cover colleges like KSU that has a board of trustees or regents). Our current state law says state
owned buildings must have a policy (it gives them the option of 'bad' policy including smoking rooms).
I hope this helps. Again, if you would like, we can follow up with him if you send along his info
Have a good one,
Ellen
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.ukv.edu
4
COLLEGE OF NURSING
Our Gotlllt! it} Help 'You :HoLlI.'z<' 'r.,)Ufc'
From: Betsy Janes [mailto:betsyj@kylung.orgj
Sent: Tuesday, November 3D, 2010 1:25 PM
To: Tonya.chang@heart.org; Jamesmsizemore@windstream.net; Brandi.gilley@gmail.com; Hahn, Ellen J;
hoperoadwellness@hotmail.com; icenters@roadrunner.com; Eric.evans@cancer.org; Betsy Janes;
jredmond@kycancerc.org; James.sharp@cancer.org; Kercsmar, Sarah; anthonys.lockard@att.blackberry.net;
abarkley@tobaccofreekids.org; Wagner, Kristian K
SUbject: county government-owned buildings
Hi Gang,
I got a message from a guy in Morgan County. He said smoking is allowed in their county courthouse. He has severe
capo and has trouble when he has to go in there. Is it correct that each county dictates policy for county-owned
buildings and that state and federal buildings are governed by different laws? If so, is there any advice you can offer for
this guy? Are there any other laws that might apply? Is there any movement in Morgan County toward smoke-free
poliCY? Thanks.
Betsy Berns Janes
Advocacy Director
American Lung Association in Kentucky
P.O. Box 9067
4100 Churchman Ave.
Louisville, KY 40215-1154
Office: (502) 363-2652
Cell: (502) 797-0638
betsyj@kylung.org
www.midlandlung.org
5
Spagnuolo. Amy R
Sent:
To:
Wednesday, December 15, 2010 11:52AM
Riker, Carol A
Sorry to bother you about this again, but do you have a written summary of what they did in Madison? I have the media
account, but I wanted to be as specific as possible.
Thanks,
John
From: Riker, carol A
Sent: Wednesday, December 08, 2010 8:43 AM
To: Johnson, John D
Cc: Hahn, Ellen J
That would be terrific, John! Bronson is with Americans for Non-Smokers' R'ights and Maggie is with the Tobacco Control
Legal Consortium of the Public Health Law Center.
Should we send our e-cig one-pager too? It won't be ready til Thurs or Fri.
Many thanks,
Carol
To: Riker, Carol A
Hi Carol,
Did you follow up on this? I don't know Bronson or Maggie, but if you can provide some contact info, I can follow up.
John
From: Hahn, Ellen J
Cc: Riker, carol A; Johnson, John D
know that the amendment passed (and we do need a copy of it 50 we can update our ordinance data base).
1
College of NUrsing and College of Public Health
751 Rose Street
lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
www.mc.uky.edu/tobaccopolky
www.kcsp.uky.edu
Find kysmoke/ree on Twitter and Facebook !
COLLEGE OF NURSING
OU r GfHl! is to HOlp You ;ZiJ rbur"(!;
From: anthonys.lockard@att.blackberry.net [mailto:anthonys.lockard@att.blackberry.netj
To: Hahn, Ellen J
From: "Hahn, Ellen J" <ejhahnOO@emai1.uky.edu>
Date: Thu,2 Dec 201006:22:51 -0500
To: anthonys .1ockard@att.blackberry.net<1mthonys.1ockard@att.blackberry.net >, Betsy
Janes <betsyj@kylung.org>, Tonya.chang@heart.org<fonya.chang@heart.org>,
Jamesmsizemore@windstream.net <r amesmsizemore@windstream.net>'
Brandi.gilley@gmai1.com <Brandi.gilley@gmai1.com>,
hoperoadwellness@hotmail.com <b.operoadwellness@hotmail.com>,
icenters@roadrunner.com <icenters@roadrunner.com>, Eric.evans@cancer.org<Eric.evans@cancer.org>,
jredmond@kycancerc.org <jredmond@kycancerc.org>, James .sharp@cancer.org <r ames .sharp@cancer.org>,
Kercsmar, Sarah .edu >, abarldey@tobaccofreeldds.org <1tbarldey@tobaccofreekids.org>,
Wagner, Kristian K <kkwagn3@uky.edu>
Scott,
This is GREAT news! I was anxious to hear about the outcome at Madison County. Our staff had put together materials
Thanks,
Ellen
2
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
Find kysmokejree on Twitter and Facebook !
COLLEGE OF NURSING
- - - -
Sent: Thursday, December 02,2010 6:18 AM
To: Hahn, Ellen J; Betsy Janes; Tonya.chang@heart.org; Jamesmsizemore@windstream.net; Brandi.gilley@gmail.com;
Cc:Johnson, John D
Good morning,
possible anywhere.
touted e-cigarettes as an effective means to help smokers quit. Their main argument was that they did not give
off any secondhand smoke or vapor that hanned others. The board held finn and the reg passed.
Scott
---_.- ... .. ---.-
From: "Hahn, Ellen J" <ejhahnOO@emaiLuky.edu>
Date: Wed, 1 Dec 201008:27:36 -0500
To: Betsy Janes <betsyj@kylung.org Tonya.chang@heart.org <ronya.chang@heart.org

Brandi.gilley@gmaiLcom <Brandi.gilley@ gmaiLcom
hoperoadwellness@hotmail.com <hoperoadwellness@hotmail.com
icenters@roadrunner.com <icenters@roadrunner.com Eric.evans@cancer.org <Edc.evans@cancer .org
jredmond@kycancerc.org<jredmond@ kycancerc.org J ames.sharp@cancer.org <fames .sharp@cancer.org
Kercsmar, Sarah <Scave2@emaiLuky.edu
anthonys .1ockard@att.blackberry.net <lmthonys .1ockard@att.blackberry .net
abarkley@tobaccofreekids.org <llbarkley@tobaccofreekids.org Wagner,Kristian K <kkwagn3@uky.edu>
3
Good morning,
mal<ing government buildings smoke-free (or better yet, a smoke-free law including all county government buildings),
State buildings are under the jurisdiction of state law (thUS, the Frankfort ordinance does not cover state or federal
owned buildings must have a policy (it gives them the option of 'bad' policy induding smoking rooms).
I hope this helps. Again, if you would liI(e, we can follow up with him if you send along his info
Have a good one,
Ellen
Assistant Director,. Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
751 Rose Street
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.ukv.edu
www.kcsp.uky.edu
COLLEGE OF NURSING
OU r Ge-HIls 10 YOu \fl)UrG'
From: Betsy Janes [mailto:betsYi@kylung.org]
Sent: Tuesday, November 30, 2010 1:25 PM
Subject: county government-owned buildings
4
Hi Gang,
COPD and has trouble when he has to go in there. Is it correct that each county dictates policy for county-owned
policy? Thanks.
Betsy Berns Janes
Advocacy Director
P.O. Box 9067
4100 Churchman Ave.
Office: (502) 363-2652
Cell: (502) 797-0638
betsyj@kylung.org
www.midlandlung.org
5
Spagnuolo, Amy R
From:
Sent:
To:
Cc:
Subject:
Thanks so much. ,
Dena Sherman [dsherman@hospicebg.org]
Wednesday, December 15, 2010 9:06 AM
Johnson, John D
Hahn, Ellen J; Kercsmar, Sarah
RE: add me to mailing list
From: Johnson, John D [mailto:jdjohnson@uky.edu]
Sent: Wednesday, December 15, 2010 8:55 AM
To: Dena Sherman
Cc: Hahn, Ellen J; Kercsmar, Sarah
Subject: RE: add me to mailing list
Hi Dena,
I've added you to our list and you should receive our next newsletter.
Please let us know if you have any additional questions.
Happy Holidays,
John
John D. Johnson, MA
Community Liaison
859-323-4587
859-323-1057 (FAX)
jdjohnson@uky.edu
www,kcsp.uky.edu
From: Dena Sherman [mailto:dsherman@hospicebg.org]
Sent: Monday, December 13, 2010 4:32 PM
To: Johnson, John D
Subject: add me to mailing list
---,-------
Would you mind adding me to your mailing list? I'm the committee chair for our tobacco-free committee.
Dena M, Sherman, PHR
HR Generalist
Hospice ofthe Bluegrass
2312 Alexandria Drive
Lexington, KY 40504
phone: (859) 296-6864
fax: (859) 276-0611
1
dsherman@hospicebg.org
This transmission may contain Information that is privileged, confidential and/or exempt from disclosure under applicable law. [fyau are not the intended recipient, you are
hereby notified that any disclosure, copying. distribution or use oftha Information contained herein (indudlng any rellance thereon) Is STRICTLY PROHIBITED. If you received
this transmission in error, please immediately contact the sender and destroy the material in its entirety, whether in electronic or hard copy format,
From: Dozier, Kyle (LHD - Clark Co HD) [mailto:Kyle.Dozier@ky.gov]
To: Dena Sherman
Subject: fIN:
Sent: Thursday, October 28, 2010 12:39 PM
To: Johnson, John D
Subject:
October 2010
Communities: Good for PeopleJ' Good for Business
Welcome to the Kentucky Center for Smoke-Free Policy (KCSP) Community Partners' Newsletter!
FDA to decide how to classify e-cigarettes.
Kentucky receives national award for smoke-free laws.
Summary of the Article, Economic effects of Ohio's smoke free law on Kentucky and Ohio
border counties.
Summary of the Article, Smoke-free law associated with higher-than-expected taxable
retail sales for bars and taverns in Washington State.
2
Summary of the Article, Smoke-free legislation and hospitalizations for childhood asthma.
3. Opposition Watch
The Annual Commonwealth Freedom and Liberty Conference.
1. FDA to decide how to classify e-cigarettes
A lawsuit has been brought against the FDA regarding the classification of e-cigarettes. The lawsuit
claims that it is not fully understood whether e-cigarettes are "tobacco products" or a "drug-device
combination." As a tobacco product they would endure less regulation and oversight than as a drug-
device combination product. The oral arguments in the U.S. Court of Appeals were recently presented
and an outcome is pending.
2. Kentucky receives national award for smoke-free laws
The Commonwealth of Kentucky was honored on Tuesday, September 21, 2010, for enacting smoke-free
laws, particularly in a state with a long history oftobacco growing and manufacturing. The communities
that passed smoke-free laws in 2009 were Campbellsville, London, Prestonsburg, and Radcliff.
Community advocates in these four communities were recognized as well as the following state
organizations: American Cancer SOciety, American Heart ASSOciation, American Lung ASSOciation,
Campaign for Tobacco-Free Kids, Kentucky Cancer Consortium, Kentucky Center for Smoke-free Policy,
and Kentucky Department for Public Health's Tobacco Control Program. Thanks to the hard work of
community advocates and community partners, Kentucky placed 3'd in the nation for passing
comprehensive smoke-free workplace legislation.
1. Pyles, M.K., Hahn, E.J. (2010). Economic effects of Ohio's smoke free law on Kentucky and Ohio
border counties. Tob Control. doi: 10.1136/tc.2009.035493.
When the state of Ohio went smoke free, some reported that residents were driving to Kentucky border
counties so they could smoke in public places. This study examined whether economic activity in Ohio
decreased, while economic activity in Kentucky border counties increased. This assertion was not
supported --the economy in both sets of border communities remained at the pre- smoke-free law
level. Ohio border counties did not lose business and Kentucky border counties did not gain business as
a result of Ohio's smoke-free law.
2. Boles, M., Dilley, J., Maher, J.E., Boysun, M.J., and Reid, T. (2010). Smoke-free law associated with
higher-than-expected taxable retail sales for bars and taverns in Washington State. Prev Chronic
Dis. 7(4)A79.
3
Taxable retail sales were examined for bars and taverns in the two years after Washington State passed
a statewide smoke-free law. In bars and taverns, there was a $105 million gain in sales revenues in the
two years after the smoke-free law went into effect. Washington State put these funds in the general
fund, benefiting the residents of the state. By exceeding revenue expectations after the legislation was
passed, this study builds on the literature that smoke-free laws do not hurt local communities and may
actually produce additional revenue.
http://www.cdc.gov/pcd/issues/2010/juI/090187.htm
3. Mackay, D., Haw, S., Ayres, J.G., Fischbacher, C., Pell, J.P. (2010). Smoke-free legislation and
hospitalizations for childhood asthma. N Engl J Med 363;12:1139-1141.
In 2006, Scotland passed smoke-free legislation that prohibited smoking in public places. Prior to the
smoke-free law, hospital admissions for asthma among children were increasing at 5.2% per year. After
the smoke-free law was implemented, there was an 18.2% reduction in the rate of hospital admissions
for asthma among children. The authors concluded that smoke-free laws can improve asthma
outcomes, beyond just those exposed to secondhand smoke in the workplace.
opposition Watch
1. The Annual Commonwealth Freedom and Liberty Conference
The Annual Commonwealth Freedom and Liberty Conference was held at the Drawbridge Hotel and
Convention Center in Fort Mitchell, KY on October 1-2, 2010. The Bluegrass Institute, Take Back
Kentucky, and other known anti-health opponents of smoke-free air provided training sessions on topics
such as recruiting, equipping, and mobilizing an "army of informed citizens," utilizing social networking,
and influencing the legislative process. This event was also promoted by the Tea Party, a group
responsible for much of the organized opposition to smoke-free ordinances around the state (i.e.
Northern Kentucky Choice).
Feedback
If you have any comments or suggestions regarding the KCSP Community Partners' Newsletter, or would like
to suggest future content for the newsletter, please let us know! We would love to hear your feedback
kcspOO@lsv.uky.edu or contact John Johnson jdjohnson@uky.edu , 859-323-4587.
The KCSP Community Partners' distribution list is intended to provide pertinent information to local tobacco
control community advocates in Kentucky. If you have received this newsletter in error or wish to be removed
from the list, please reply to this email with REMOVE in the subject headline.
John D. Johnson, MA
Community Liaison
4
859-323-4587
859-323-1057 (FAX)
jdjohnson@uky.edu
www.i<csp.uky.edu
5
Spagnuolo, Amy R
From:
Sent:
To:
Subject:
Monday, December 13, 20104:32 PM
Johnson, John D
add me to mailing list
Dena M. Sherman, PHR
HR Generalist
Hospice of the Bluegrass
Lexington, KY 40504
phone: (859) 296-6864
fax: (859) 276-0611
This transmission may contain information that Is privileged, confidential and/or exempt from disclosure under applicable law. If you are not the Intended recipient, you are
hereby notified that any disclosure, copying, distribution or use of the Information contained herein (including any reliance thereon) is STRICTLY PROHIBITED. If you received
this transmission in error, please immediately contact the sender and destroy the material In its entirety, whether in electronic or hard copy format.
To: Dena Sherman
Subject: FW:
To: Johnson, John D
Subject:

October 2010

Smoke1ree Communities: GOOd/Of People
l
Good for Business
1
e FDA to decide how to classify e-cigarettes.
e Kentucky receives national award for smoke-free laws.
@ Summary of the Article, Economic effects of Ohio's smoke free law on Kentucky and Ohio
border counties.
@ Summary of the Article, Smoke-free law associated with higher-than-expected taxable
@ Summary of the Article, Smoke-free legislation and hospitalizations for childhood asthma.
3. Opposition Watch
@ The Annual Commonwealth Freedom and Liberty Conference.
device combination product. The oral arguments in the u.s. Court of Appeals were recently presented
laws, particularly in a state with a long history of tobacco growing and manufacturing. The communities
organizations: American Cancer Society, American Heart ASSOciation, American Lung Association,
community advocates and community partners, Kentucky placed 3
rd
in the nation for passing
2
Dis. 7(4)A79.
http://www.cdc.gov/pcd/issues/2010/juI!090187.htm
3. Mackay, D., Haw, S., Ayres, J.G., Fischbacher, C., Pel!, J.P. (2010). Smoke-free legislation and
hospitalizations for childhood asthma.N Engl J Med 363;12:1139-1141.
Opposition Watch
Feedback
kcsp00(!jllsv.uky.edu or contact John Johnson jdjohnson@uky.edu , 859-323-4587.
3
Voluntarv Participation
John D. Johnson, MA
Community Liaison
859-323-4587
859-323-1057 (FAX)
Jdjohnson@uky.edu
www.kcsp.uky.edu
4
Spagnuolo. Amy R
From: Hahn, ElienJ
Sent:
To:
Monday, December 13, 2010 2:50 PM
Johnson, John D
Thanks so much. Glad you could come, John. I enjoyed seeing Shelly again. Enjoy your holidays.
Assistant Director, Center for Bfobehavioral Research in Self-Management of Cardiopulmonary Disease
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
Find kysmokeJree on Twitter and Facebook I
COLLEGE OF NURSING
OU r Ceul !s ,to Hdp You tHEW!
Sent: Monday, December 13, 2010 10:24 AM
To: Hahn, Ellen J
Ellen,
According to KRS 61.805 this applies to any public board or agency, so BOH would be included.
Thanks for the party last night - it was a lot of fun! We work with great people!
John
For some fun legal reading:
61.805 Definitions for KRS 61.805 to 61.850.
As used in KRS 61.805 to 61.850, unless the context otherwise requires:
(1) "Meeting" means all gatherings of every kind, including video teleconferences, regardless of where the meeting
is held, and whether regular or special and infonuational or casual gatherings held in anticipation of or in
conjunction with a regular or special meeting;
(2) "Public agency" means:
(a) Every state or local government board, commission, and authority;
1
(b) Every state or local legislative board, commission, and committee;
(c) Every county and city governing body, council, school district board, special district board, and municipal
corporation;
(d) Every state or local govemment agency, including tbe policy-making board of an institution of education, created
by or pursuant to state or local statute, executive order, ordinance, resolution, or other legislative act;
(e) Any body created by or pursuant to state or local statute, executive order, ordinance, resolution, or otber
}egislative act or branch of governIIlen!L .. _ .. ___ ____ . _______ . _______ .
From: Hahn, Ellen J
Sent: Sunday, December 12, 2010 3:01 PM
To: Johnson, John D
This is related to the special meeting KRS that was at issue in NKY. Can you please review that to see whether this relates
to BOH meetings or just state/county/city government.. ...
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
Sent: Tuesday, December 07, 2010 1:39 PM
To: Hahn, Ellen J
So the issue is lack of clarity on whether a fiscal court can vote to make the courthouse smoke-free, or whether it can be
initiated by a citizen? In either case or both probably not a bad idea to get Judy to weigh in.
John
From: Hahn, Ellen J
To: Riker, Carol A; Johnson, John D
Good point. We could get Judy to weigh in if it isn't obvious in the KRS language. John, what do you think?
2
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
Find kysmokefree on Twitter and Facebool< !
COLLEGE OF NURSING
From: Riker, Carol A
To: Johnson, John D
Cc: Hahn, Ellen J
- ~ - - .. ---
Kelly said the second reading would be end of jan. We need to look at that open meetings rule to see if it affects
BOH mtgs since they are moving that meeting from February. Carol
Sent from my iPhone
On Dec 7, 2010, at 10:00 AM, "Johnson, John D" <idjohnson@uky.edu>wrote:
I don't see anything in the files on Morgan.
John
From: Hahn, Ellen J
Cc: Riker, Carol A; Johnson, John D
Oh dear. I will be interested in hearing more about this. An upcoming trend. Carol/John, please let
Bronson and Maggie'lmow that the amendment passed (and we do need a copy of it so we can update
our ordinance data base).
3
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
<image001.gif>
To: Hahn, Ellen J
One member of the group actually used his e cigarette on the sidelines of the meeting. The room
was so packed the BOH or HD people could not see what he was doing.
4
Date: Thu, 2 Dec 2010 06:22:51 -0500
To: anthonys .1ockard@att.blackberry.net <rIllthonys .lockard@atLblackberrv.net>, Betsy
Janes 4Jetsyj@kylung.org>, Tonya.chang@heart.org <Tonya.chang@healt.org>,
J amesmsizemore@windstream.net 4 amesmsizemore@windstream.net>,
Brandi.gilley@gmail.com <Brandi.gilleY@gmail.com>,
hoperoadwelllless@hotmail.com <hoperoadwellness@hotmail.com>,
icenters@roadrunner.com <icenters@roadrunner.com>,
Eric.evans@cancer.org <Eric.evans@cancer.org>,
jredmond@kycancerc.org <jredmond@kycancerc.org>,
James .sharp@cancer.org 4 ames .shaJ;p@cancer.org>, Kercsmar, Sarah <scave2@email.uky.edu>,
abarkley@tobaccofreekids.org <rIbarkleY@tobaccofreeldds.org>, Wagner, Kristian .
K <kkwagn3@uky.edu>
Scott,
This is GREAT news! I was anxious to hear about the outcome at Madison County. Our staff had put
together materials for the BOH on e-cigarettes, as well as other legal issues. We were all keeping our
fingers crossed. John, Scott has a great suggestion and one you could share with Betsy's contact
Thanks,
Ellen
751 Rose Street
5
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
<image001.gif>
From: anthonys.lockard@att.blackberrv.net [mailto:anthonys.lockard@att.blackberry.netl
Sent: Thursday, December 02, 2010 6: 18 AM
To: Hahn, Ellen Ji Betsy Janesi Tonya.chang@heart.org; Jamesmsizemore@windstream.neti
Brandl.gillelt@gmail.comi hoperoadwellness@hotmail.comi icenters@roadrunner.comi
Eric.evans@cancer.org; jredmond@kycancerc.org; James.sharp@cancer.orgi Kercsmar, Sarahi
abarkley@tobaccofreekids.orgi Wagner, Kristian K
Cc: Johnson, John D
Good morning,
Sometimes all that has to be done is to bring the situation to the fiscal court's attention. This is
what happened in Wolfe Co. One citizen went to a fiscal court meeting and raised the issue. The
fiscal court discussed it and voted to make the courthouse smoke free. I would encourage the
individual to attend a fiscal court meeting and share his concerns with his elected leaders to see
what kind of response Judge Conley gives. If Wolfe can do it, it is possible anywhere.
I attended the Madison Co first reading last night of their strengthened regulation. There was a
group there that touted e-cigarettes as an effective means to help smokers quit. Their main
argument was that they did not give off any secondhand smoke or vapor that hanned others. The
board held finn and the reg passed.
Scott
From: "Hahn, Ellen J"
Date: Wed, 1 Dec 2010 08:27:36 -0500
6
To: Betsy Janes <betsyj@kylung.org>, Tonya.chang@heart.org <Tonya.chang@heart.org>,
Jamesmsizemore@windstream.net<Jamesmsizemore@windstream.net>,
Brandi.gilley@gmail.com <Brandi.gilleY@gmai1.com>,
hoperoadwellness@hotmail.com <hoperoadwellness@hotmail.com>,
icenters@roadrunner.com <icenters@roadrunner.com>,
jredmond@kycancerc.org .gredmond@kycancerc.org>,
James .sharp@cancer.org <J ames.sham@cancer.org>, Kercsmar, Sarah <scave2@email.uky.edu>,
anthonys .1ockard@att.blackberry.net <1mthonys .1ockard@att.blackberry.net >,
abarkley@tobaccofteekids.org >, Wagner,Ktistian
K <kkwagn3@uky.edu>
Subject: RE: county govennnent-owned buildings
Good morning,
Betsy, if you wantto send along his name and contact info, we are happy to conduct a community
readiness assessment with him and connect him with the tobacco control program. I am not aware of
any smoke-free efforts in Morgan County, but we will explore further. I am cc: John so he can take a look
in our files.
County buildings are under the jurisdiction of the county government. Unless the fiscal court enacts an
ordinance making government buildings smoke-free (or better yet, a smoke-free law induding all county
government buildings), the only other option is to evoke the ADA. We have had success with ADA letters
sent to the county officials. The person initiating the letter must be sure to have a doctor-confirmed
diagnosis that confirms that he is breathing disabled. Often, just sending the letter about the ADA
violation is enough to spur county governments to make their government buildings smoke-free. We
would be happy to help him with this.
State buildings are under the jurisdiction of state law (thus, the Frankfort ordinance does not cover state
or federal buildings; nor does it cover colleges like KSU that has a board of trustees or regents). Our
current state law says state owned buildings must have a policy (it gives them the option of 'bad' polley
including smoking rooms).
Have a good one,
Ellen
7
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
<image001.gif>
From: Betsy Janes [mailto:betsyj@kylung.orgj
jredmond@kycancerc.org; James.sharp@cancer.org; Kercsmar, Sarah;
anthonys.lockard@att.blackberrv.net; abarkley@tobaccofreekids.org; Wagner, Kristian K
Hi Gang,
8
I got a message from a guy in Morgan County. He said smoking is allowed in their county courthouse.
He has severe COPD and has trouble when he has to go in there. Is it correct that each county dictates
policy for county-owned buildings and that state and federal buildings are governed by different laws? If
so, is there any advice you can offer for this guy? Are there any other laws that might apply? Is there
any movement in Morgan County toward smoke-free policy? Thanks.
Betsy Berns Janes
Advocacy Director
P.O. Box 9067
4100 Churchman Ave.
Office: (502) 363-2652
Cell: (502) 797-0638
betsyj@kylung.org
www.midlandlung.org
<image002.gif>
9
Spagnuolo. Amy R
From: Hahn, Ellen J
Sent: Monday, December 13, 20102:08 PM
To:
Subject:
Kercsmar, Sarah; Johnson, John D; Marijanovic, Nina
RE: KCSP October Community Partner Newsletter
I like that idea a lot. Let's do just a brief summary of the new SG report. Use the Exec Summary as a guide.
University of Kentuclw
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
COLLEGE OF NURSING
Our Goo! 18- 'b;J Heir) You '\fJurG;
From: Kercsmar, Sarah
To: Hahn, Ellen J; Johnson, John D; Marijanovic, Nina
Subject: RE: KCSP October Community Partner Newsletter
Oops, missed that, sorry!
How about we put in a note about the new Surgeon General's report instead? I guess my thinking that one broad
overview research article is probably about as much as we should expect folks to pay attention to at this time of year!
Sarah Kercsmar, PhD
Manager, Northern Kentucky Office
Clean Indoor Air Partnership
50 E. RiverCenter Blvd., Suite 410
Covington, KY 41011
859-261-1721 (office)
859-312-5856 (cell)
scave2@email.uky.edu
please keep this email paperless
1
From: Hahn, Ellen J
To: Johnson, John Di Marijanbvic, Ninai Kercsmar, Sarah
Subject: FW: KCSP October Community Partner Newsletter
October newsletter-we already did review Mackay ... see below.
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
Find kysmokefree on Twitter and Facebook I
COLLEGE OF NURSING
Our Gon! IS if) Htrr1p
To: Johnson, John D
SUbject: KCSP October Community Partner Newsletter

October 2010

Smoke-free Comlf'rH/nities: Good for Good for Business
Welcome to the Kentucky Center for Smoke-Free Policy (KCSP) Community Partners' Newsletterl
2
border counties.
3. Opposition Watch
organizations: American Cancer Society, American Heart AssOCiation, American Lung Association,
community advocates and community partners, Kentucky placed 3'd in the nation for paSSing
3
2. Boles, M., Dilley, J., Maher, J.E., Boysun, MJ., and Reid, T. (2010). Smoke-free law associated with
Dis. 7(4)A79.
3. Mackay, D., Haw, S., Ayres, J.G., Fischbacher, C., Pel!, J.P. (2010). Smoke-free legislation and
Opposition Watch
1. The Annual Commonwealth Freedom and liberty Conference
responsible for much of the organized opposition to smoke-free ordinances around the state (I.e.
Feedback
kcspOO@lsv.uky.edu or contact John Johnson jdjohnson@uky.edu, 859-323-4587.
4
John D. Johnson, MA
Community Liaison
lexington, Kentucky 40536-0232
859-323-4587
859-323-1057 (FAX)
jdjohnson@uky.edu
www.kcsp.uky.edu
'.
5
Spagnuolo. Amy R
From: Hahn, Ellen J
Sent: Monday, December 13,20101:51 PM
To:
Subject:
Johnson, John D; Marijanovic, Nina; Kercsmar, Sarah
FW: July KCSP Community Partner Newsletter
Professor and Director, Tobacco policy Research Program
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
Find kysmokejree on Twitter and Facebook I
COLLEGE OF NURSING
Our Ciofl.! iH v,j Hdp "feu ;.Recliz& \1)UfS
From: Bossick, Michael J
Sent: Tuesday, July 20, 2010 10:31 AM
Subject: July KCSP Community Partner Newsletter

Smoke-free Communities: Goad for People, Good for Buslness
General Announcement
e KCSP StaffTransitions
e KvSmokefree is Now on Facebook!
1

@ Mayor Bloomberg Considers a Smoke-free Policy on NYC Beaches and Parks.
@ Summary of the Article, Hair nicotine levels in nonsmoking pregnant women whose spouses
smoke outside of the home.
@ Summary of the Article, Quantifying the effects of promoting smokeless tobacco as a harm
reduction strategy in the USA.
@ Summary of the Article, Economic effects of clean indoor air policies on bar and restaurant
employment in Minneapolis and St Paul, Minnesota.
General Announcements
1. KCSP Staff Transitions
Effective Thursday, August 6
th
, Dr. Mike Bossick will leave the position as Manager of the Kentucky Center for
Smoke-free Policy. Dr. Ellen Hahn remains the Director of the Center, and technical and information will
continue to be proVided by our team of staff and faculty associates. Continue to contact us at
kcspOO@lsv.uky.edu or call 859-323-4587. You also can contact Dr. Hahn directly at 859-257-2358 or
ejhahnOO@email.ukv.edu.
Dr. Bossick has enjoyed his time working with many passionate advocates over the last year and he is proud of
your efforts to make Kentucky a healthier place. He wishes you well in your smoke-free efforts and looks forward
to seeing more local communities make the smart decision to enact comprehensive smoke-free laws!
2. Kvsmokefree is Now on Facebook!
Click on the link above to check out our brand new Facebook page that launched in June! Get the most recent
updates on smoke-free policy, opposition tactics, research updates, and community news by Simply clicking
"Like" on the page and you will become a fan. This will allow you to see the information we post and keep you
informed. We would appreciate your input and feedback on our site!
1. Mayor Bloomberg Considers a Smoke-free Policy on NYC Beaches and Parks.
The mayor of New York City is considering prohibiting smoking on its beaches and parks. He stated in a recent
news release that the public does not want smoking in these recreational areas that consist of 14 miles of beach
and over 1,700 parks and playground areas. His rationale for this policy is to ensure those who frequent these
recreational areas will have clean air to breathe. In addition, the policy will preserve the environment by
reducing cigarette butt and pack litter on beaches and park grounds. This extension of New York City's smoke-
2
free law would further protect New Yorkers from exposure to outdoor tobacco smoke (OTS) while preserving
the environment.
Read the New York Times Article Here
1. Yoo, S. H., Y. J. Paek, S. S. Kim., et al. (2010). Hair nicotine levels in nonsmoking pregnant women
whose spouses smoke outside of the home. Tobacco Control. Epub ahead of print May 27,2010.
Secondhand smoke not only has harmful effects on non-smoking adults and children, but also on fetal
development during pregnancy. To determine whether pregnant women experience reduced exposure to SHS
when their spouses smoke outside the home, Yoo et al. designed a study comparing three groups comprised of
nonsmoking spouses, spouses who only smoked outside the home, and spouses who smoked inside the home.
Pregnant women provided hair samples on the day of their last antenatal appointment as a biomarker, or a
substance used to indicate a biological state, for nicotine exposure. There was a significant difference in hair
nicotine levels between pregnant women who had nonsmoking spouses and those with smoking spouses both
inside and outside of the home. Hair nicotine levels were not significantly different between women with spouses
smoking in the home and outside of the home. This study determined that nonsmoking pregnant women are still
at risk for SHS smoke exposure even when their spouse smokes outside the home: Public education is needed on
establishing smoke-free home policies including issues related to smoking outside the home and thirdhand smoke
exposure.
(See the attached article)
2. Mejia, A. B., P. M. Ling, & S. A. Glantz. (2010). Quantifying the effects of promoting smokeless tobacco
as a harm reduction strategy in the USA. Tobacco Control. Epub ahead of print June 27, 2010.
Mejia et al. sought to determine whether the promotion of smokeless tobacco in the form of snus, a moist
tobacco product which is a variant of snuff, is a viable harm reduction strategy for tobacco initiation in the US.
Smokeless tobacco is thought by some to be less harmful than cigarettes despite the fact using such products
have been linked to oral cancer, heart, disease, and pancreatic cancer. Mejia et al. used a simulation model to
estimate the health effects of different patterns of smokeless tobacco use. The authors concluded that smokeless
tobacco promotion would not be associated with any substantial health benefits at the population level. The
probability that smokers would reduce their tobacco use was not significantly less and could not be considered an
effective public health intervention. In fact, advocating for smokeless tobacco use as an alternative to cigarette
smoking may send confusing messages and undermine communities or campuses with tobacco-free policies
designed to protect public health.
3. Klein, E. G., J. L. Forster, D. J. Erickson, L. A. Lytle, & B. Schillo. (2010). Economic effects of clean
indoor air policies on bar and restaurant employment in Minneapolis and St Paul, Minnesota.
Journal of Public Health Management and Practice. 16: 285-293.
Researchers report economic improvements in employment in bars and restaurants after smoke-free legislation
was enacted in two Minnesota cities. The employment rates of bars and restaurants in St. Paul and Minneapolis
were analyzed over a five-year period during which smoke-free laws were implemented in each city. Once the
comprehensive laws were in effect, employment was 3% higher in restaurants in both cities, and S% higher in
bars 2.5 years following the local clean indoor air law in Minneapolis. No significant change in employment was
seen in bars in St. Paul during the same time period. This study indicates that local smoke-free laws may have a
3
positive effect on the employment in local restaurants and bars after comprehensive clean indoor airs laws are
implemented.
Feedback
kcspOO@lsv.uky.edu or call 859-323-4587.
The KCSP Community Partners' distribution list is intended to provide pertinent information to local tobacco control
community advocates in Kentucky. If you have received this newsletter in error or wish to be removed from the list,
Mike Bossick, Ph.D.
Manager, Kentucky Center for Smoke-Free Policy & Radon Awareness Project
859-323-4587
859-323-1057 (FAX)
michael.bossick@uky.edu
www.kcsp.uky.edu
Find kysmokefree on Twitter and Facebook
, , ,y,lIlVntJ)j.1\'E/Il'I'I'Y OF KF"")rCKY'

'" ;t}' " j
aq., ",
Smoke-free Communities:
Good for People, Good for Business
4
Spagnuolo. Amy R
From: Hahn, Ellen J
To:
Subject:
FW: KCSP September Community Partner Newsletter
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
COLLEGE OF NURSING
Our GOfi! Is iO ",(bu [Roalkt't \'bllr::S,
From: Johnson,John D
Sent: Friday, September 24, 2010 11:16 AM
To: Johnson, John D
Subject: KCSP September Community Partner Newsletter
September 2010

Communities; Good for Peopitlt Good [or Business
e Update on Northern Kentucky's Smoke-free Initiative.
1

Updated County Level Tobacco Use and Policy Fact Sheets are Now Available.
New FDA rules will greatly restrict tobacco advertising and sales.
The Air Force Surgeon General warns about e-cigarettes.
Smoke-free policies should extend outdoors.
Kysmoke is now on Facebook!
Introducing John Johnson, Community Liaison, KCSP.
2. Smoke-free Research U p d a t e ~
. Summary of the Article, Threshold of biologic responses o/the small airway epithelium to
low levels of tobacco smoke.
Summary of the Article, The impact of school tobacco policies on student smoking in
Washington State, United States and Victoria, Australia.
3. Opposition Watch
Summary of Jim Waters article, Advocates of smoking bans lack sensible solutions.
1. Northern Kentucky's Smoke-free Law Closer to Reality!
On September 15, by a vote of 15 to 6, the Northern Kentucky Health Department's District Board of
Health voted to enforce the ordinances, if the counties approve it.
http://news.cincinnati.com!apps!pbcs.dll/article?AID=!AB!20100915!NEWS010S(9160343/
2. Updated County Level Tobacco Use and Policy Fact Sheets are Now Available.
Please visit our website (see link below) to locate your community fact sheet to check out the most recent statistics
on tobacco use and smoke-free poliCies at the county level.
http://www.mc.ukV.edu/tobaccopolicv!KCSP!UseAndPolicYFactSheets2010.HTM
3. New FDA rules will greatly restrict tobacco advertising and sales.
On June 22, 2010, a new set of regulations went into place that put severe restrictions on tobacco
companies as to when and where they are able to advertise their products. These restrictions include
2
banning Big Tobacco from entertainment venues, restricting sales in vending machines to adult-only stores
and placing cigarettes behind the counter in other locations, prohibiting non-tobacco giveaways with the
purchase of cigarettes and requiring that cigarettes are sold in packages of 20 or greater. If you would like
to contact the FDA regarding this issue please go to:
http://www.fda.gov/AboutFDA/ContactFDA/default.htm
In addition, the FDA has issued warning letters concerning the manufacturing process and claims by e-
cigarette companies (see link below and attached notice). The companies claim that electronic cigarettes,
or e-cigarettes, are smoking cessation aides.
http://www.tri-cityherald.com!2010[09[09[l161912[fda-sends-warning-letters-to-e.html
The Surgeon General ofthe United States Air Force has issued a warning concerning e-cigarettes. These
metal tubes look like a traditional cigarette while delivering nicotine through a refillable cartridge. The
Food and Drug Administration has conducted tests that determine that e cigarettes have a similar risk to
consumers as traditional cigarettes. As a result, the Surgeon General has sent out a statement that they
will be treated In the same category and prohibited from being used in places where cigarettes are
currently prohibited. These changes will be included in the upcoming addition of the Air Force manual on
tobacco use.
See the attached memo from the Surgeon General of the Air Force
4. Smoke-free policies should extend outdoors.
In an article published in the Lexington Herald Leader on August 16, 2010, Dr. Ellen Hahn discussed the
consequences of breathing outdoor tobacco smoke. Although many smoke-free laws have been enacted in
Kentucky (including the adoption of University of Kentucky's tobacco-free campus policy in November
2009), there remains concern over the health effects of breathing tobacco smoke in outdoor environments.
Cigarette smoke contains over 250 harmful chemicals that can cause cancer, breathing problems as well as
a host of other serious conditions. Based on the latest science on outdoor tobacco smoke, Dr. Hahn
recommends staying at least five feet away from one smoker and at least 20 feet away from more than one
smoker, depending on the wind conditions. She also urges the reader to make their home and car smoke-
free and asks people to smoke 20 feet from doors, windows, or vents to provide protection from OTS.
This article is attached.
5. Kysmokefree is now on Facebookl
http://www.facebook.com/home.php?#!/pages/kysmokefree/l21589417877279?ref=ts
6. Introducing John Johnson, Community Liaison.
John has begun a new position of Community Liaison for KCSP and will serve as the first point of contact
for advocates who have questions about KCSP and our resources. You can reach John at 859-323-4587
or jdjohnson@uky.edu.
3
1. Strulovici-Barel v, amberg L, O'Mahony M, Gordon C, Hollmann C, Tilley AE, et al. Threshold of
biologic responses of the small airway epithelium to low levels of tobacco smoke. Am J Respir Crit
Care Med. 2010 (in press).
In New Vork City, individuals 18 years and older were recruited to participate in a study looking at the
effects of low-level tobacco on sensitive airway tissue. Healthy non-smokers, healthy smokers and healthy
individuals who were exposed to low levels of tobacco smoke were asked to give a sample from their small
airway tissue and a urine sample which was used to test their nicotine and cotinine levels (markers for
tobacco exposure). The investigators then looked at the 372 genes that are responsible for the addiction
process and looked to see which ones were most affected by low-level tobacco use. All individuals who had
been exposed to tobacco smoke showed changes in their airway tissue.
2: Evans-Whipp TJ, Bond L, Ukoumunne OC, Toumbourou JW, and Catalano RF. The impact of school
tobacco policies on student smoking in Washington State, United States and Victoria, Australia.lnt J
Environ Res Public Health. 2010;7(3):698-710 .
. High school-age students were asked about smoke-free laws on their campus. They were asked how
different factors, such as a complete prohibition on smoking on their school campus or harsh penalties,
played a role in their desire not to smoke. Students who had harsher rules surrounding smoking on school
grounds were more likely to think fewer of their peers smoked on campus. Overall, a combination of
comprehensive smoke-free campus policies and harsher penalties for smoking may reduce the number of
youth who engage in smoking.
Opposition Watch
1. From the Opposition Archive: A Summary of Jim Waters'200S article, Advocates of smoking bans lack
sensible solutions.
The Bluegrass Institutes' Jim Waters article proposes the concept of charters (vs. smoke-free laws), where
employers are asked to place signs in their place of business informing their clients of their smoking
policy. This would allow each establishment to create an individualized smoking policy. Mr. Waters argues
that this proposed solution supports the private property rights of the employers and owners.
Waters' proposed 'solution' is a well-known tobacco industry tactic to derail smoke-free campaigns. Merely
asking businesses to post signs does not protect all workers. Rather, it gives the illusion that government is
taking action. In reality, the charter or signage proposal is no different than the status quo.
To learn more about the opposition tactics ofthe anti-health groups in Kentucky, go to
http://www.bipps.org/article.php?articie id=378.
Feedback
kcspOO@lsv.uky.edu or contact John Johnson jdjohnson@ukv.edu, 859-323-4587.
4
John D. Johnson, MA
Community Liaison
859-323-4587
859-323-1057 (FAX)
jdjohnson@uky.edu
www.l<csp.uky.edu
5
Spagnuolo, Amy R
From:
Sent:
To:
Subject:
Johnson, John D
add me to mailing list
Dena M. Sherman, PHR
HR Generalist
Hospice of the Bluegrass
Lexington, KY 40504
phone: (859) 296-6864
fax: (859) 276-0611
This transmission may contain Information that is privileged, confidential and/or exempt from disclosure under applicable law. If you are not the intended recipient, you are
hereby notified that any disclosure, copying, distribution or use of the information contained herein (Including any reliance thereon) Is STRICTLY PROHIBITED. If you received
thiS transmission in error, please immediately contact the sender and destroy the material in its entirety, whether in electronic or hard copy format.
To: Dena Sherman
Subject: FW:
To: Johnson, John D
Subject:
October 2010
Communities: Good for People! Good {or Business
1
border counties.
3. Opposition Watch
claims that it is not fully understood whether e-cigareUes are "tobacco products" or a "drug-device
device combination product. The oral arguments in the U.S. Court of Appeals were recently presented
organizations: American Cancer Society, American Heart Association, American Lung Association,
rd
2
. 1. Pyles, M.K., Hahn, E.J. (2010). Economic effects of Ohio's smoke free law on Kentucky and Ohio
Dis. 7(4)A79.
http://www.cdc.gov/pcd/issues/2010/juI!090187.htm
3. Mackay, D., Haw, S., Ayres, J.G., Fischbacher, C., Pen, J.P. (2010). Smoke-free legislation and
opposition Watch
responsible for much ofthe organized opposition to smoke-free ordinances around the state (I.e.
Feedback
3
John D. Johnson, MA
Community Liaison
859-323-4587
859-323-1057 (FAX)
jdjohnson@uky.edu
www.kcsp.uky.edu
4
Spagnuolo, Amy R
From: Hahn, Ellen J
Sent:
To:
Johnson, John D
Thanks so much, Glad you could come, John, I enjoyed seeing Shelly again, Enjoy your holidays,
Ellen J, Hahn, PhD, RN
751 Rose Street
859-257-2358
859-323-1057 (FAX)
ejhahnOO@emaiLukv,edu
www,kcsp,uky,edu
Sent: Monday, December 13, 2010 10:24 AM
To: Hahn, Ellen J
Ellen,
According to KRS 61.805 this applies to any public board or agency, so BOH would be included,
Thanks for the party last night - it was a lot offun! We work with great people!
John
For some fun legal reading:
61.805 Definitions for KRS 61.805 to 61.850.
As used in KRS 61,805 to 61,850, unless the context otherwise requires:
(1) "Meeting" means all gatherings of every kind, including video teleconferences, regardless of where the meeting
is held, and whether regular or special and informational or casual gatherings held in anticipation of or in
conjunction with a regular or special meeting;
(2) "Public agency" means:
(a) Every state or local government board, commission, and authority;
1
(b) Every state or local legislative board, commission, and committee;
(c) Every county and city governing body, council, school district board, special district board, and municipal
corporation;
(d) Every state or local govemment agency, including the policy-making board of an institntion of education, created
by or pursuant to state or local statnte, executive order, ordinance, resolution, or other legislative act;
(e) Any body created by or pursuant to state or local statnte, executive order, ordinance, resolution, or other
branch of gEye,fJJIll(!l1t; , __ ____ _
From: Hahn, Ellen J
Sent: Sunday, December 12, 2010 3:01 PM
To: Johnson, John D
This is related to the special meeting KR5 that was at issue in NKY, Can you please review that to see whether this relates
to BOH meetings or just state/county/city government... ..
751 Rose Street
Lexington, I<Y 40536-0232
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
COLLEGE OF NURSING
OU r Goal Is 10 Help You Rsul izo 'I'burs:
To: Hahn, Ellen J
John
From: Hahn, Ellen J
Good point. We could get Judy to weigh in if it isn't obvious in the KR5 language. John, what do you think?
2
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.ukv.edu
COLLEGE OF NURSING
Our GO<l118 10 Help You !HooJ CO '"Durs
To: Johnson, John D
Cc: Hahn, Ellen J
Sent from my iPhone
On Dec 7,2010, at 10:00 AM, "Johnson, John D" <ldjohnson@uky.edu>wrote:
John
From: Hahn, Ellen J
To: anthonys.lockard@att.blackberrv.net
Cc: Riker, Carol Ai Johnson, John D
Bronson and Maggie know that the amendment passed (and we do need a copy of it so we can update
3
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
<image001.gif>
From: anthonys.lockard@att.blackberrv.net [mailto:anthonys.lockard@att.blackberry.net]
To: Hahn, Ellen J
One member of the group actually used his e cigarette on the sidelines ofthe meeting. The room
4
Date: Thu,2 Dec 2010 06:22:51 -0500
To: anthonys.lockard@att.blackberry.net <mthonys.lockard@att.blackberrv.net Betsy
Janes <betsyj@kylung.org Tonya.chang@heart.org <I'onya.chang@healt.org
Jamesmsizemore@windstream.net <f amesmsizemore@windstream.net
Brandi.gilley@gmail.com <Brandi.gilley@gmail.com
hoperoadwellness@hotmail.com <b.operoadwellness@hotmail.com
icenters@roadnmner.com <icenters@roadrnnner.com
Eric.evans@cancer.org <Eric.evans@cancer.org
jredmond@kycancerc.org <jredmond@kycancerc.org
James.sharp@cancer.org <fames.sham@cancer.org Kercsmar, Sarah
abarkley@tobaccofreekids.org <1lbarkley@tobaccofreekids.org Wagner, Kristian .
K <i<kwagn3@uky.edu>
Scott,
fingers crossed. John, Scott has a great suggestion and one you could share with Betsy's contact.
Thanks,
Ellen
751 Rose Street
5
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
<imageOO1.gif>
From: anthonys.lockard@att.blackberrv.net [mailto:anthonys.lockard@att.blackberry.netj
Sent: Thursday, December 02,20106:18 AM
To: Hahn, Ellen J; Betsy Janes; Tonya.chang@heart.org; Jamesmsizemore@windstream.net;
Brandi.gilley@gmail.com; hoperoadwellness@hotmail.com; icenters@roadrunner.com;
Eric.evans@cancer.org; jredmond@kycancerc.org; James.sharo@cancer.org; Kercsmar, Sarah;
Cc: Johnson, John D
Good morning,
group there that touted e-cigarettes as an effectIve means to help smokers quit. Their main
argument was that they did not give off any secondhand smoke or vapor that harmed others. The
board held firm and the reg passed.
Scott
Date: Wed, 1 Dec 2010 08:27:36 -0500
6
To: Betsy Janes <betsyj@ky\ung.org Tonya.chang@heart.org <fonya.chang@hearLorg
Jamesmsizemore@windstream.net <J amesmsizemore@windstream.net
BrandLgilley@gmai1.com <BrandLgilley@gmai1.com
hoperoadwellness@hotmail.com
icenters@roadmnner.com <kenters@roadmnner.com
jredmond@kycancerc.org .qredmond@kycancerc.org
James.sharp@cancer.org <James.sharp@cancer.org Kercsmar, Sarah
anthonys .1ockard@atLblackberry.net <lmthonys .1ockard@att.blackbeny .net
abarkley@tobaccofreekids.org <l\barkley@tobaccofreekids .org Wagner,Kristian
K 4ckwagn3@uky.edu >
Cc: Johnson, John D .qdjohnson@uky.edu>
Good morning,
Betsy, if you want to send along his name and contact info, we are happy to conduct a community
in our files.
ordinance making government buildings smoke-free (or better yet, a smoke-free law including all county
diagnosis that confirms that he is breathing disabled. Often, jus! sending the letter about the ADA
current state law says state owned buildings must have a policy (it gives them the option of 'bad' policy
Have a good one,
Ellen
7
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
<image001.gif>
jredmond@kycancerc.org; James.sharo@cancer.org: Kercsmar, Sarah;
anthonys.lockard@att.blackberrv.net; abarkley@tobaccofreekids.org; Wagner, Kristian K
Hi Gang,
8
He has severe capo and has trouble when he has to go in there. Is it correct that each county dictates
Betsy Berns Janes
Advocacy Director
P.O. Box 9067
4100 Churchman Ave.
Office: (502) 363-2652
Cell: (502) 797-0638
betsyj@kylung.org
www.midlandlung.org
<image002.gif>
9
Spagnuolo, Amy R
From: Hahn, Ellen J
Sent: Monday, DeCember 13, 2010 2:08 PM
To:
Subject:
Kercsmar, Sarah; Johnson, John D; Marijanovic, Nina
RE: KCSP October Community Partner Newsletter
I like that idea a lot. Let's do just a brief summary of the new SG report. Use the Exec Summary as a guide.
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
COLLEGE OF NURSING
Om Gool is ,'0 Help You iRoaJiZl' "/burs
To: Hahn, Ellen J; Johnson, John D; Marijanovic, Nina
Subject: RE: KCSP October Community Partner Newsletter
Oops, missed that, sorry!
How about we put in a note about the new Surgeon General's report instead? I guess my thinking that one broad
overview research article is probably about as much as we should expect folks to pay attention to at this time of year!
Sarah Kercsmar. PhD
Covington, KY 41011
859-261-1721 (office)
859-312-5856 (cell)
.I'J please keep this email paperless
1
from: Hahn, Ellen J
To: Johnson, John D; Marijanovic, Nina; Kercsmar, Sarah
Subject: FW: KCSP October Community Partner Newsletter
October newsletter-we already did review Mackay ... see below.
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
To: Johnson, John D
Subject: KCSP October Community Partner Newsletter
October 2010
I
Smoke-free Communities: Good for People, Good for Business
2
L Smoke-free Policy Updates
~ FDA to decide how to classify e-cigarettes.
~ Kentucky receives national award for smoke-free laws.
~ Summary of the Article, Economic effects of Ohio's smoke free law on Kentucky and Ohio
border counties.
~ Summary of the Article, Smake-free law associated with higher-than-expected taxable
~ Summary of the Article, Smoke-free legislation and hospitalizations for childhood asthma.
3. Opposition Watch
~ The Annual Commonwealth Freedom and Liberty Conference.
laws, particularly in a state with a long history of tobacco growing and manufacturing. The communities
that passed smoke-free laws in 2009 were Campbellsville, london, Prestonsburg, and Radcliff.
organizations: American Cancer Society, American Heart Association, American lung Association,
rd
3
Dis. 7(4)A79.
3. Mackay, D., Haw, S., Ayres, J.G., Fischbacher, C., Pell, J.P. (2010). Smoke-free legislation and
Opposition Watch
Feedback
4
Voluntarv Participation
John D. Johnson, MA
Community Liaison
859-323-4587
859-323-1057 (FAX)
jdjohnson@uky.edu
www.kcsp.uky.edu
5
Spagnuolo, Amy R
From: Hahn, Ellen J
To:
Subject:
FW: July KCSP Community Partner Newsletter
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
COLLEGE OF NURSING
Om Gool is 10 Help Yeu ROillizo YCl/rS
From: Bossick, Michael J
Sent: Tuesday, July 20, 2010 10:31 AM
Subject: July KCSP Community Partner Newsletter
Smoke-free Communities: Good for People, Good for Business
General Announcement
KCSP StaffTransitions
KySmokefree is Now on Facebook!
1
I
61 Mayor Bloomberg Considers a Smoke-free Policy on NYC Beaches and Parks.
61 Summary of the Article, Hair nicotine levels in nonsmoking pregnant women whose spouses
smoke outside of the home.
61 Summary of the Article, Quantifying the effects of promoting smokeless tobacco as a harm
reduction strategy in the USA.
61 Summary of the Article, Economic effects of clean indoor air policies on bar and restaurant
employment in Minneapolis and St Paul, Minnesota.
General Announcements
1. KCSP Staff Transitions
Effective Thursday, August 6
th
, Dr. Mike Bossick will leave the position as Manager of the Kentucky Center for
Smoke-free Policy. Dr. Ellen Hahn remains the Director ofthe Center, and technical and information will
continue to be provided by our team of staff and faculty associates. Continue to contact us at
kcspOO@lsv.uky.edu or call 859-323-4587. You also can contact Dr. Hahn directly at 859-257-2358 or
ejhahnOO@email.uky.edu.
Dr. Bossick has enjoyed his time working with many passionate advocates over the last year and he is proud of
your efforts to make Kentucky a healthier place. He wishes you well in your smoke-free efforts and looks forward
to seeing more local communities make the smart decision to enact comprehensive smoke-free laws!
2. KySmokefree is Now on Facebook!
Click on the link above to check out our brand new Facebook page that launched in June! Get the most recent
updates on smoke-free policy, opposition tactics, research updates, and community news by simply clicking
"Like" on the page and you will become a fan. This will allow you to see the information we post and keep you
informed. We would appreciate your input and feedback on our site!
1. Mayor Bloomberg Considers a Smoke-free Policy on NYC Beaches and Parks.
The mayor of New York City is considering prohibiting smoking on its beaches and parks. He stated in a recent
news release that the public does not want smoking in these recreational areas that consist of 14 miles of beach
and over 1,700 parks and playground areas. His rationale for this policy is to ensure those who frequent these
recreational areas will have clean air to breathe. In addition, the policy will preserve the environment by
reducing cigarette butt and pack litter on beaches and park grounds. This extension of New York City's smoke-
2
free law would further protect New Yorkers from exposure to outdoor tobacco smoke (OTS) while preserving
the environment.
Read the New York Times Article Here
1. Yoo, S. H., Y. J. Paek, S. S. Kim., et al. (2010). Hair nicotine levels in nonsmoking pregnant women
whose spouses smoke outside o/the home. Tobacco Control. Epub ahead of print May 27,2010.
Secondhand smoke not only has harmful effects on non-smoking adults and children, but also on fetal
development during pregnancy. To determine whether pregnant women experience reduced exposure to SHS
when their spouses smoke outside the home, Yoo et al. designed a study comparing three groups comprised of
nonsmoking spouses, spouses who only smoked outside the home, and spouses who smoked inside the home.
Pregnant women provided hair samples on the day of their last antenatal appointment as a biomarker, or a
substance used to indicate a biological state, for nicotine exposure. There was a significant difference in hair
nicotine levels between pregnant women who had nonsmoking spouses and those with smoking spouses both
inside and outside of the home. Hair nicotine levels were not significantly different between women with spouses
smoking in the home and outside of the home. This study determined that nonsmoking pregnant women are still
at risk for SHS smoke exposure even when their spouse smokes outside the home. Public education is needed on
establishing smoke-free home policies including issues related to smoking outside the home and thirdhand smoke
exposure.
2. Mejia, A. B., P. M. Ling, & S. A. Glantz. (2010). Quantifying the effects of promoting smokeless tobacco
as a harm reduction strategy in the USA. Tobacco Control. Epub ahead of print June 27, 2010.
Mejia et al. sought to determine whether the promotion of smokeless tobacco in the form of snus, a moist
tobacco product which is a variant of snuff, is a viable harm reduction strategy for tobacco initiation in the US.
Smokeless tobacco is thought by some to be less harmful than cigarettes despite the fact using such products
have been linked to oral cancer, heart, disease, and pancreatic cancer. Mejia et al. used a simulation model to
estimate the health effects of different patterns of smokeless tobacco use. The authors concluded that smokeless
tobacco promotion would not be associated with any substantial health benefits at the population level. The
probability that smokers would reduce their tobacco use was not significantly less and could not be considered an
effective public health intervention. In fact, advocating for smokeless tobacco use as an alternative to cigarette
smoking may send confusing messages and undermine communities or campuses with tobacco-free policies
designed to protect public health.
3. Klein, E. G., J. L. Forster, D. J. Erickson, L. A. Lytle, & B. Schillo. (2010). Economic effects of clean
indoor air policies on bar and restaurant employment in Minneapolis and St Paul, Minnesota.
Journal of Public Health Management and Practice. 16: 285-293.
Researchers report economic improvements in employment in bars and restaurants after smoke-free legislation
was enacted in two Minnesota cities. The employment rates of bars and restaurants in St. Paul and Minneapolis
were analyzed over a five-year period during which smoke-free laws were implemented in each city. Once the
comprehensive laws were in effect, employment was 3% higher in restaurants in both cities, and S% higher in
bars 2.5 years following the local clean indoor air law in Minneapolis. No significant change in employment was
seen in bars in St. Paul during the same time period. This study indicates that local smoke-free laws may have a
3
positive effect on the employment in local restaurants and bars after comprehensive clean indoor airs laws are
implemented.
Feedback
kcspOO@lsv.uky.edu or call 859-323-4587 .
Mike Bossick, Ph.D.
Manager, Kentucky Center for Smoke-Free Policy & Radon Awareness Project
859-323-4587
859-323-1057 (FAX)
michael.bossick@uky.edu
www.kcsp.uky.edu
Find kysmokefree on Twitter and Facebook
Smoke-free Communities:
Good for People, Good for Business
4
Spagnuolo, Amy R
From: Hahn, Ellen J
Sent: Monday, December 13,20101:49 PM
To:
Subject:
FW: KCSP September Community Partner Newsletter
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
Find kysmoketree on Twitter and Facebook !
COLLEGE OF NURSING
Our Goal Is 10 Help Yeu iR",,1 izn Yburs
Sent: Friday, September 24, 2010 11: 16 AM
To: Johnson, John D
Subject: KCSP September Community Partner Newsletter
September 2010
Communities: Good/or People, Good for Business
Update on Northern Kentucky's Smoke-free Initiative.
1
@) Updated County Level Tobacco Use and Policy Fact Sheets are Now Available.
@) New FDA rules will greatly restrict tobacco advertising and sales.
@) The Air Force Surgeon General warns about e-cigarettes.
@) Smoke-free policies should extend outdoors.
@) Kysmoke is now on Facebook!
@) Introducing John Johnson, Community Liaison, KCSP.
@) Summary of the Article, Threshold of biologic responses of the small airway epithelium to
low levels of tobacco smoke.
@) Summary of the Article, The impact of school tobacco policies on student smoking in
Washington State, United States and Victoria, Australia.
3. Opposition Watch
@) Summary of Jim Waters article, Advocates of smoking bans lack sensible solutions.
1. Northern Kentucky's Smoke-free Law Closer to Reality!
On September 15, by a vote of 15 to 6, the Northern Kentucky Health Department's District Board of
Health voted to enforce the ordinances, if the counties approve it.
http:Unews.cincinnati.com/apps/pbcs.dll/article?AID=/AB/20100915/NEWS0108/9160343/
2. Updated County Level Tobacco Use and Policy Fact Sheets are Now Available.
Please visit our website (see link below) to locate your community fact sheet to check out the most recent statistics
on tobacco use and smoke-free policies at the county level.
http://www.mc.uky.edu/tobaccopolicy/KCSP/UseAndPolicyFactSheets2010.HTM
3. New FDA rules will greatly restrict tobacco advertising and sales.
On June 22, 2010, a new set of regulations went into place that put severe restrictions on tobacco
companies as to when and where they are able to advertise their products. These restrictions include
2
banning Big Tobacco from entertainment venues, restricting sales in vending machines to adult-only stores
and placing cigarettes behind the counter in other locations, prohibiting non-tobacco giveaways with the
purchase of cigarettes and requiring that cigarettes are sold in packages of 20 or greater. If you would like
to contact the FDA regarding this issue please go to:
http://www.fda.gov/AboutFDA/ContactFDA/default.htm
In addition, the FDA has issued warning letters concerning the manufacturing process and claims by e-
cigarette companies (see link below and attached notice). The companies claim that electronic cigarettes,
or e-cigarettes, are smoking cessation aides.
http://www.tri-cityherald.com/2010/09/09/1161912/fda-sends-warning-letters-to-e.html
The Surgeon General of the United States Air Force has issued a warning concerning e-cigarettes. These
metal tubes look like a traditional cigarette while delivering nicotine through a refillable cartridge. The
Food and Drug Administration has conducted tests that determine that e Cigarettes have a similar risk to
consumers as traditional cigarettes. As a result, the Surgeon General has sent out a statement that they
will be treated in the same category and prohibited from being used in places where cigarettes are
currently prohibited. These changes will be included in the upcoming addition of the Air Force manual on
tobacco use.
See the attached memo from the Surgeon General ofthe Air Force
4. Smoke-free policies should extend outdoors.
In an article published in the Lexington Herald Leader on August 16, 2010, Dr. Ellen Hahn discussed the
consequences of breathing outdoor tobacco smoke. Although many smoke-free laws have been enacted in
Kentucky (including the adoption of University of Kentucky's tobacco-free campus policy in November
2009), there remains concern over the health effects of breathing tobacco smoke in outdoor environments.
Cigarette smoke contains over 250 harmful chemicals that can cause cancer, breathing problems as well as
a host of other serious conditions. Based on the latest science on outdoor tobacco smoke, Dr. Hahn
recommends staying at least five feet away from one smoker and at least 20 feet away from more than one
smoker, depending on the wind conditions. She also urges the reader to make their home and car smoke-
free and asks people to smoke 20 feet from doors, windows, or vents to provide protection from OTS.
This article is attached.
5. Kysmokefree is now on Facebook!
http://www.facebook.com/home.php?#!/pages/kysmokefree/121589417877279?ref=ts
6. Introducing John Johnson, Community Liaison.
John has begun a new position of Community Liaison for KCSP and will serve as the first pOint of contact
for advocates who have questions about KCSP and our resources. You can reach John at 859-323-4587
or jdjohnson@uky.edu.
3
1. Strulovici-Barel Y, Omberg L, O'Mahony M, Gordon C, Hollmann C, Tilley AE, et al. Threshold of
biologic responses of the small airway epithelium to low levels of tobacco smoke. Am J Respir Crit
Care Med. 2010 (in press).
In New York City, individuals 18 years and older were recruited to participate in a study looking at the
effects of low-level tobacco on sensitive airway tissue. Healthy non-smokers, healthy smokers and healthy
individuals who were exposed to low levels oftobacco smoke were asked to give a sample from their small
airway tissue and a urine sample which was used to test their nicotine and cotinine levels (markers for
tobacco exposure). The investigators then looked at the 372 genes that are responsible for the addiction
process and looked to see which ones were most affected by low-level tobacco use. All individuals who had
been exposed to tobacco smoke showed changes in their airway tissue.
2. Evans-Whipp TJ, Bond L, Ukoumunne OC, Toumbourou JW, and Catalano RF. The impact of school
tobacco policies on student smoking in Washington State, United States and Victoria, Australia. Int J
Environ Res Public Health. 2010;7(3}:698-710.
High school-age students were asked about smoke-free laws on their campus. They were asked how
different factors, such as a complete prohibition on smoking on their school campus or harsh penalties,
played a role in their desire not to smoke. Students who had harsher rules surrounding smoking on school
grounds were more likely to think fewer oftheir peers smoked on campus. Overall, a combination of
comprehensive smoke-free campus policies and harsher penalties for smoking may reduce the number of
youth who engage in smoking.
opposition Watch
1. From the Opposition Archive: A Summary of Jim Waters'200S article, Advocates of smoking bans lack
sensible solutions.
The Bluegrass Institutes' Jim Waters article proposes the concept of charters (vs. smoke-free laws), where
employers are asked to place signs in their place of business informing their clients oftheir smoking
policy. This would allow each establishment to create an individualized smoking policy. Mr. Waters argues
that this proposed solution supports the private property rights of the employers and owners.
Waters' proposed 'solution' is a well-known tobacco industry tactic to derail smoke-free campaigns. Merely
asking businesses to post signs does not protect all workers. Rather, it gives the illusion that government is
taking action. In reality, the charter or sign age proposal is no different than the status quo.
To learn more about the opposition tactics of the anti-health groups in Kentucky, go to
http://www.bipps.org/article.php?articie id=378.
Feedback
4
John D. Johnson, MA
Community Liaison
859-323-4587
859-323-1057 (FAX)
jdjohnson@uky.edu
www.kcsp.uky.edu
5
Spagnuolo. Amy R
From: Hahn, Ellen J
Sent:
To:
Sunday, December 12,20103:01 PM
Johnson, John D
This is related to the special meeting KRS that was at issue in NKY. Can you please review that to see whether this relates
to BOH meetings or just state/county/city government. ....
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
COLLEGE OF NURSING
To: Hahn, Ellen J
So the issue is lack of clarity on whether a fiscal court can vote to make the courthouse smOke-free, or whether it can be
John
From: Hahn, Ellen J
Ellen J. Hahn, PhD, RN .
Assistant Director, Centerfor Biobehavioral Research in Self-Management of Cardiopulmonary Disease
1
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
COLLEGE OF NURSING
Our Gteal 1910 Help '"{()iJ IF{EJttHlO \rbur-'s
To: Johnson, John D
Cc: Hahn, Ellen J
Sent from my iPhone
On Dec 7, 2010, at 10:00 AM, "J o1mson, John D" <ldjo1mson@uky.edu>wrote:
John
From: Hahn, Ellen J
2
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
<image001.gif>
From: anthonys.lockard@att.blackbeny.net [mailto:anthonys.lockard@att.blackberry.netj
Sent: Thursday, December 02, 2010 6:27 AM .
To: Hahn, Ellen]
One member ofthe group actually used his e cigarette on the sidelines of the meeting. The room
Sent via BlackBeny by AT&T
3
Date: Thu, 2 Dec 2010 06:22:51-0500
To: anthonys .lockard@att.blackberry.net <ttnthonys .lockard@att.blackberry.net>, Betsy
Janes <betsyj@kylung.org>, Tonya.chang@heart.org <I'onya.chang@heart.org>,
Jamesmsizemore@windstream.net<famesmsizemore@windstream.net>,
Brandi.gilley@gmai1.com <Brandi.gilley@gmaiLcom>,
icenters@roadrunner.com <icenters@roadrunner.com?,
Eric.evans@cancer.org <Eric.evans@cancer.org?,
jredmond@kycancerc.org 1redmond@kycancerc.org?,
J ames.sharp@cancer.org <fames .sharp@cancer.org>, Kercsmar, Sarah <scave2@emai1.uky.edu>,
abarkley@tobaccofreekids.org <ttbarkley@tobaccofreekids.org?, Wagner, Kristian
K <kkwagn3@uky.edu>
Cc: Johnson, John D 1djohnson@uky.edu>
Scott,
Thanks,
Ellen
751 Rose Street
859-257-2358
4
859-323-1057 (FAX)
www.kcsp.uky.edu
<imageOO1.gif>
Sent: Thursday, December 02, 2010 6: 18 AM
To: Hahn, Ellen J; Betsy Janes; Tonya.chanq@heart.orq; Jamesmsizemore@windstream.net;
Brandi.qilley@qmail.com; hoperoadwellness@hotmail.comi icenters@roadrunner.com;
Eric.evans@cancer.orq; jredmond@kycancerc.org; James.sharp@cancer.org; Kercsmar, Sarah;
Cc: Johnson, John D .
Good morning,
what kind of response Judge Conley gives. If Wolfe cando it, it is possible anywhere.
I attended the Madison Co first reading last night of their streugthened regulation. There was a
group there that touted e-cigarettes as an effective means to help smokers quit. Their main
Scott
Date: Wed, 1 Dec 2010 08:27:36 -0500
To: Betsy Janes 4letsyj@kylung.org>l Tonya.chang@heart.org <fonya.chang@heart.org>l
Jamesmsizemore@windstream.net <f amesmsizemore@windstream.net>l
Brandi .gilley@gmail.com <l3randi.gilley@gmail.com>l
5
icenters@roadrunner.com
jredmond@k:ycancerc.org <\redmond@kycancerc.org
J ames.sharp@cancer.org <lames .sharp@cancer.org Kercsmar, Sarah <Scave2@emai1.uky.edu
anthonys .1ockard@att.blackberry.net <!tnthonys .lockard@att.blackberry .net
abarkley@tobaccofreekids.org <!tbarkley@tobaccofreekids .org Wagner,Kristian
K <kkwagn3@uky.edu>
Cc: Johnson, John D <\djohnson@ukv.edu>
Subject: RE: county govennnent-owned buildings
Good morning,
in ourfiles.
or federal buildings; nor does it cover colleges like I<SU that has a board of trustees or regents). Our
current state law says state'owned buildings must have a policy (it gives them the option of 'bad' policy
Have a good one,
Ellen
6
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
<image001.gif>
From: Betsy Janes [mailto:betsyj@kylung.org]
Sent: Tuesday, November 3D, 2010 1:25 PM
To: Tonya.chanq@heart.orq; Jamesmsizemore@windstream.net; Brandi.gilley@qmail.com; Hahn, Ellen J;
jredmond@i<vcancerc.orq; Jame5.sharp@cancer.orq; Kercsmar, Sarah;
anthonys.lockard@att.blackberrv.net; abarkley@tobaccofreekids.orq; Wagner, Kristian K
Hi Gang,
He has severe COPO and has trouble when he has to go in there. Is it correct that each county dictates
7
Betsy Berns Janes
Advocacy Director
P.O. Box 9067
4100 Churchman Ave.
Office: (502) 363-2652
Cell: (502) 797-0638
betsyj@kylung.org
www.midlandlung.org
<image002.gif>
8
Spagnuolo, Amy R
From:
Sent:
To:
Subject:
Sidney, Hilarie E
Thursday, December 09,201011 :26 AM
Johnson, John D
FW: KCSP November Community Partner Newsletter
Attachments: One-pager e-cigarettes and Secondhand Smoke EH 112110.pdf; One pager Green Circle
111610.pdf
To: A. Weddle; adweaver@st-claire.org; Alyce Graves; Fallin, Amanda T; Amanda Lancaster; Amy Barkley; April Thomas;
baggy61@mchsi.com; Becky Horn; Bertie Salyer; Beverly Lewis; Brandin Gibson; Brandon Hurley; Carol Douglas; Carol
Jo May cjmay@olwh.org ; Carolyn Burtner; charlesddaniels@hotmail.com; Chrissy Booth; Connie Meek; Cynthia Brown;
Cynthia Steele; Dave Baxter; Deborah Fleming; Deborah Shortt; Donita; Dori Livy; Dr. Todd Bohannon; Dudley Conner;
Edwina Smarr; Napier, Ellen J; Feltner, Frances J; Frieda Glantz; Geneva Wallen; Geri Tincher; Heather Owens; Sidney,
Hilarie E; Irene Centers; J. Lee; Jaclyne Hodges; James Thaxton; Jamie Browning (notredamejb@hotmail.com); Jamie
Oakes; Janna Smith; Jean Bennett; Jean Rosenberg; Jim Tolley; Cain, John H; Joyce Adkins; Julie Brackett; Katharine
Lay; Kelly Harl ; Kerry Cork; Kimberli Flood; Kyle Dozier; Larry Martin; Leeann Taylor; Leslie Newman; Lindsay Justice;
Lisa J. Houchin; Liz Burrows; Liz Crigler; Liz Williams; loras.perkins@ky.gov; Mark Sizemore; Mary Jo Dike; Maxine
Ritchie; Melissa Brown; Michael Helton; Michael Shoemaker; Michelle Webb; Mona Ollis McClain; Paul Kiser
(pkiser@kentuckyaction.org); Petty Gregory; Phil Marinaro; Rachael King; Rachel Willoughby; Richard Nading; Richard
Wilson; Roger Trent; rpcleigh@bellsouth.net; ; Ruth Davis; Sam Castle; Sandy Bailey; Sandy England; Good, Sandra B;
Sara Dunlap; Savannah Knopp; Scott Lockard (Anthonys.lockard@ky.gov); Scott Walker; Shana Peterson; Shannon Pratt;
Shannon Ross; Sharon Faul; Shawn Jones; Sheldon Kozee; Shirley A. Roberson; Stacy Crase; Stephanie Vogel; Sueticia
Sutton; Teresa Collins; Ferguson, Teresa D; Terry Tipton; Thursa Sloan; Tiffany Potter; Todd Warnick; Tonya; Tonya
Chang; Tracy S. Aaron; Trina Winter; Vanessa Brewer; Veronica Ent ; Hudson, Vickie A; Vickie L Poore; 'Virginia
Oldham'
Subject: KCSP November Community Partner Newsletter

November 2010
Smoke-Jree Communities: Good/or People, Good/or Business
1

University of Kentucky's Tobacco-free Campus Anniversary
News from the American Public Health Association Annual Meeting,
Denver, CO
Adult education as a vehicle for health communication
Norm spreading or behavioral compensating- Do clean indoor air laws increase
voluntary home smoke-free rules?
Critical appraisal training to expand health literacy and reduce health
disparities
Messages that motivate rural communities to support smoke-free policy
change
Justice is what love looks like: Quote from Cornel West
2. Smoke-free Research Update
State-specific Prevalence of Cigarette Smoking and Smokeless Tobacco Use Among Adults-
2009
3. Opposition Watch
The Growing Popularity of E-cigarettes
Northern Kentucky Tea Party
1. University of Kentucky's Tobacco-free Anniversary
November marked the first anniversary ofthe University of Kentucky's tobacco-free campus policy. This
was celebrated the week of November 15 with activities including distribution of policy reminder cards
(with free drink coupon), display tables around campus with cold turkey sandwiches, s-mores ("cold turkey
is not the way to go-ask for s'more information about how to quit"), and hot chocolate, and a campus-
wide cigarette butt clean-up.
Check out Kysmokefree on Facebook for tobacco-free anniversary pictures
http:Uwww.facebook.comfalbum.php?aid=25739&id=121589417877279
2. News from the American Public Health Association meeting in Denver, Colorado
Several members of the KCsP team attended the 2010 American Public Health Association conference in
November. Below are selected highlights from some of the sessions we enjoyed the most!
Adult education as a vehicle for health communication
Ariela M. Freedman, MPH, MAT - Rollins School of Public Healthy, Emory University, Atlanta, GA
According to the Institute on Medicine, "nearly half of all Americans - 90 million people - have difficulty
understanding and acting upon health information." So much of what we do in tobacco control is based on
2
print media and we may be missing a large audience who possess low literacy and low health literacy skills.
During Ms. Freedman's session at APHA, she suggested reaching out to adult education to reach those who
are often disproportionately affected by smoking and/or secondhand smoke. Adult educators are experienced
in translating information to meet the literacy skills of their participants. Adult education is also a known and
safe location where participants often have existing relationships and participants frequently report learning
from each other.
Questions to consider:
Are you aware ofthe adult education programs in your county?
Have you ever talked with the adu It education program about your smoke-free activities?
Have you reviewed the materials you use in your tobacco control program to make sure they are
readable for low literacy audiences?
For more information on clearly communicating health information, visit:
http://www.health.gov/communication/literacy/plainlanguage/PlainLanguage.htm
For a "how to" on writing easy-to-read health information: http://www.nlm.nih.gov/medlineplus/etr.html
Norm spreading or behavioral compensating- Do clean indoor air laws increase voluntary home smoke-free
rules?
Dr. Kai-Wen Cheng, Center for Tobacco Control Research and Education, University of California, San
Francisco
This session examined whether smoke-free laws increase the adoption of voluntary home smoke-free rules
among smoking households. The study found that smoke-free laws increase the likelihood that family
households voluntarily implement smoke-free home rules. For more information on smoke-free homes and
multi unit housing, please visit Americans for Non-smokers Rights at http://www.no-
smoke.org/goingsmokefree.php ?id=101
Critical appraisal training to expand health literacy and reduce health disparities
Donna Odierna, DrPH, University of California, San Francisco
The goal ofthis project was to implement and evaluate health literacy workshops for consumer advocates,
journalists, and healthcare providers. The ability to evaluate evidence for credibility and quality, and to
analyze risks and benefits is important for healthcare decision-making. It is also crucial for effective
communication with others, including policy makers. As a result oftaking part in the workshops, participants'
confidence in critical appraisal skills increased by about 30%. Attendees reported that they were more likely to
use critical appraisal skills to identify valid sources of information, recognize financial conflicts of interest,
effectively communicate health information, and critique tobacco advertising.
Additional information on health literacy training may be found at:
http://www.hsph.harvard.edu/healthliteracv/practice/training/index.html
Messages that motivate rural communities to support smoke-free policy change
Anna Kostygina, PhD, Postdoctoral Scholar, University of Kentucky
3
Focus groups were conducted with 82 residents of three rural communities to study the perceived
effectiveness of print advertisements used in rural communities to promote smoke-free policies in regard to
message framing and emotional tone. Based on the results, tips are included below for successful media
campaigns in rural communities:
Use bright colors, such as red or yellow.
Include a clear phone number or website where people can take action.
Be concise with the wording.
Messages with a serious tone tend to be more effective than lighthearted messages (such as jokes or
cartoons).
Messages stressing the risks of secondhand smoke exposure were more effective than those focusing
on the benefits of smoke-free air.
Messages that appear to blame smokers (i.e.: "Smokers kill non-smokers") were offensive to some
participants.
Messages appealing to social norms and religious beliefs received strong support from the participants.
Visit American's for Nonsmokers' Rights for examples of smoke-free ads used in other communities:
http:Uwww.no-smoke.org/goingsmokefree.php?id=115.
Justice is what love looks like, Cornel West, PhD, Professor, Princeton University
Quote:
... " allow suffering to speak .... have the courage to question things that obstruct justice .... unregulated markets
don't work to provide justice for all."
Questions to consider:
Is it fair or just that some people have to breathe smoky air at work?
Would workers exposed to secondhand smoke at work in your community be willing to get involved in
your smoke-free efforts? Could you use their quotes (anonymous) in a 'worker quote' document?
How can you frame smoke-free as a justice issue in your community?
See Robert Wood Johnson's summary of the APHA meeting: http://rwjfapha.com/
"State-Specific Prevalence of Cigarette Smoking and Smokeless Tobacco Use Among Adults --- United States,
2009." Morbidity and Mortality Weekly Report, November 5, 2010/59(43); 1400-1406
Cigarette smoking and smokeless tobacco use cause or increase the risk for lung, throat, oral, and other types
of cancers. In the article, the CDC analyzed data from the 2009 Behavioral Risk Factor Surveillance System
(BRFSS). Smoking prevalence was highest in Kentucky & West Virginia (25.6%). The prevalence of smokeless
tobacco use was higher among men than women in all states and territories. These data suggest that
smokeless tobacco use is predominantly a public health problem among men, young adults, and persons with
lower education, and in certain states:
Smokeless tobacco use among men was significantly higher than among women in all 50 states
4
Among the 50 states and DC, smokeless tobacco use was most common among persons aged 18--24
years
Smokeless tobacco use tended to decrease with increasing education
Percent of smokeless tobacco use among adults in Kentucky: 6.7%
Percent of cigarette smokers who also use smokeless tobacco in Kentucky: 7.7%
As smoke-free laws become more widespread and the tobacco industry continues to market their products for
. 'dual use,' the percent of cigarette smokers who also use smokeless is expected to rise.
http://www.cdc.gov!mmwr!preview!mmwrhtml!mm5943a2.htm?s cid=mm5943a2 w
opposition Watch
The Growing Popularity of E-cigarettes
Electronic cigarettes, or e-cigarettes, have continued to become more popular and Widely
accepted as evidenced by the article in the link below. The e-cigarette industry has launched an organized
campaign to convince the public that e-cigarettes help smokers quit. There is no research evidence that this is
the case. In fact, there is evidence that e-cigarettes actually help smokers remain addicted to nicotine. The
u.s. Food and Drug Administration (FDA) sent letters to five tobacco companies in Septemberindicating that
they were marketing their products illegally as unapproved drugs and that the products would need to be
regulated by the FDA.
http://new-smoke.com!e-cigarette-news!david-Ietterman-smokes-the-electronic-cigarette!
http://www.fda.gov!ICECI/EnforcementActions!WarningLetters/2010/default.htm ?fragme nt25 NextRow=51
See the attached fact sheet on E-cigarettes and Smoke-free Policies. Several local smoke-free
ordinances/regulations in Kentucky prohibit the use of e-cigarettes (Bardstown, Glasgow, Madison County
BOH regulation, amended 12/1/10).
Northern Kentucky Tea Party
The Northern Kentucky Tea Party is dOing the bidding of the tobacco industry and other anti-health groups
(i.e., Bluegrass Institute, Kentucky Libertarian Party, NKY Choice) to vigorously oppose the proposed smoke-
free ordinances in Campbell and Kenton Counties. Check their website: http://www.nkyteapartv.org/ and read
'Smoking Ban Supporters Hypocritical.' The Lexington Herald-Leader called out the Tea Party and urged
Campbell and Kenton Fiscal Courts to make the healthy decision in an opinion editorial this week.
http://www.kentucky.com!2010/11/30!1545933/g0-smoke-free-northern-ky.html
Feedback
s
John D. Johnson, MA
Community Liaison
859-323-4587
859-323-1057 (FAX)
jdjohnson@uky.edu
www.kcsp.uky.edu
6
E-cigarettes and Smoke-free Policies
What are E-cigarettes and what do they contain?
Battery operated devices with cartridges filled with nicotine, flavor, and other chemicals. (USFDA, 2009)
The tip of the e-cigarette simulates the lit end of a cigarette, emitting a plume [of vapor]. (Yamin, Bitton, &
Bates, 2010)
E-cigarettes tested by the FDA contain nicotine, diethylene glycol (used in antifreeze and toxic to humans),
carcinogens, and other impurities suspected to be harmful (USFDA 2009).
Nicotine levels in e-cigarettes vary from very high to very low doses, regardless of labeling. (USFDA, 2009)
Some e-cigarettes deliver drugs for weight loss and erectile dysfunction (AMA, 2010) ..
E-cigarettes are not approved by the FDA as nicotine delivery devices. Yet, e-cigarette companies market them
as cessation aides and as a way around smoke-free poliCies.
Do E-cigarettes give off secondhand smoke?
After the user inhales, the residual aerosol, or vapor, is exhaled into the surrounding air. (Trtchounian, Williams,
& Talbot, 2010)
It is likely that e-cigarettes emit nicotine, propylene glycol, carcinogens, and other substances (Henningfield &
Zaatari, 2010).
Is secondhand vapor from e-cigarettes harmful?
E-cigarettes emit secondhand vapor (nat smoke) that can be seen and smelled, but it has not been studied, so
claims of safety are premature (Henningfield & Zaatari, 2010).
Nicotine deposits react with an element in the air to form potent carcinogens (Sleiman et al. 2010).
People are then exposed to "thirdhand smoke" by inhalation, skin exposure, and ingestion.
Nicotine deposits on indoor surfaces and lasts for weeks to months (Sleiman et al. 2010).
Are there other concerns about the use .of e-cigarettes?
They cause confusion when enforcing smoke-free policies.
They model "smoking" for youth.
The nicotine in e-cigarettes could facilitate youth initiation and addiction.
People using e-cigarettes as a cessation aide are not likely to be successful.
How are U.S. agencies respanding to the risks involved with e-cigarettes?
On July 22, 2009, the FDA warned of the taxic ingredients in e-cigarettes.
In 2010, the FDA warned five manufacturers that they are illegally marketing e-cigarettes and tald their trade
assaciatian that they intend ta regulate these praducts (AMA, 2010).
The Air Farce and the Marine base at Quantico have banned the use of e-cigarettes in the warkplace. New
Jersey and Suffalk county, NY, have banned use wherever smoking is prohibited (ASH, 2010).
All U.s. domestic airlines ban the use of e-cigarettes (ASH, 2010).
What are the recammendations regarding e-cigarettes and smoke-free policies?
American Cancer Society, American Heart Associatian, The Campaign far Tabacco-free Kids, and the American
lung Associatian recammend that smake-free laws and palicies prahibit the use .of e-cigarettes. (ACS, AHA,
CTFK, & ALA, 2010).
Far mare infarmatian, cantact the Kentucky Center far Smake-free Palicy, 859-323-4587, www.kcsp.uky.edu
E-cigarettes and Smoke-free Policies
Action on Smoking and Health (ASH). (2010). E-cigarettes banned on domestic flights, reports ASH. Accessed 10/19/2010
at http://www.prlog.org/10942504-cigarettes-banned-on-domestic-flights-reports-ash.html
American Cancer Society, American Heart Association, The Campaign for Tobacco-free Kids, and the American Lung
Association. (April 9, 2010). Policy guidance document regarding e-cigarettes.
American Medical Association. (October 27, 2010). Health agencies update. Journal of the American Medical Association,
304 (16), 1777.
Henningfield, J.E., & Zaatari, G.S. (2010). Electronic nicotine delivery systems: Emerging science foundation for policy.
Tobacco Control, 19(2), 89-90.
International Agency for Research on Cancer. IARC Monographs on the Evaluation of Carcinogenic Risks to Humans:
Tobacco Smoke and Involuntary Smoking. Vol. 83. Lyon (France): International Agency for Research on Cancer,
2002.
Sieiman, M.A., Gundel, LA., Pankow, J.F., Jacob, P. III, Singer, B.C., & Destaillats, H. (2010) Formation of carcinogens
indoors by surface-mediated reactions of nicotine with nitrous acid, leading to potential thirdhand smoke
hazards. PNAS, 107((15), 6576-6581.
Trtchounian, A., Williams, M., & Talbot, P. (July 19, 2010) Conventional and electronic cigarettes (e-ciagrettes) have
different smoking characteristics. Nicotine & Tobacco Research Advance Access. Doi:10.1093/ntr/ntql14
U.S. Food and Drug Administration. (7/2//09). FDA news release. FDA and public health experts warn about electronic
cigarettes. Accessed 10/19/10 at
http://www.fda.gov/NewsEvents/Newsroom/PressAnnoucements/ucm173222.htm
Yamin, C.K., Bitton, A., & Bates, D.W. (2010). E-cigarettes: A rapidly growing internet phenomenon. Annals of Internal
Medicine, 153, 607-609.
For more information, contact the Kentucky Center for Smoke-free Policy, 859-323-4587, www.kcsp.uky.edu
Why the 'Green Circle' Approach is Wrong for Northern Kentucky
When a smOke-free ordinance is proposed, anti-health groups often suggest "compromises" such as the
Green Circle signs. These recommendations come from the tobacco industry playbook and they do not
protect public health.
The 'Green Circle' approach does not change the status guo
Posting signs is no different than the current situation in Northern Kentucky.
Workers and the public remain exposed to dangerous toxins in secondhand smoke. The 'Green
Circle' approach would put our loved ones at serious riskl
"Compromise" policies give the illusion that something is being done to protect nonsmokers
from secondhand smoke when, in reality, workers remain unprotected.'
The 'Green Circle' does not protect workers
The U.S. Surgeon General has declared that the only way to protect the workforce from
secondhand smoke is to completely eliminate it indoors.' Posting signs does not reduce the
toxic chemicals in the air.
All workers and patrons deserve to breathe safe, smoke-free air.
The 'Green Circle' is an accommodation strategy promoted by the tobacco industry
Posting signs such as the Green Circle approach is consistent with the tobacco industry
argument that smoking is an "adult choice."
Phillip Morris, the National Smokers Alliance, and other anti-health groups with tobacco industry
ties have been linked with past attempts to derail effective smoke-free laws by suggesting
compromise like the 'Green Circle:'
The bottom line is that the goal of smoke-free laws is to protect the health of all workers. Posting signs
to notify patrons if establishments allow smoking or not does not protect those who work in Northern
Kentucky's bars, restaurants, and other workplaces.
For more information, contact the Kentucky Center for Smoke-Free Policy at 859-323-4587.
1 Amerlcansfor Nonsmokers' Rights, "Don't let Big Tobacco Give Smoke-Free Ordinances the Red LIght," Fact Sheet, June 2005.
2 U.s. Department of Health and Human Services, The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report afthe Surgeon
General. 2006. Department of Health and Human Services, Public ~ e a l t h Service, Centers for Disease Control and Prevention,
National Center for Chronic Disease and Prevention and Promotion, Office of Smoking and Health: Atlanta, GA.
3 Philip Morris. Interoffice Correspondence. Bates Document # 2022839335. January 1994.
Spagnuolo. Amy R
Sent:
To:
Wednesday, December 08,20108:43 AM
Johnson, John D
Cc: Hahn, Ellen J
Subject:
Attachments:
RE: county government-owned buildings
Bronson Frick; Maggie Mahoney
That would be terrific, John! Bronson is with Americans for Non-Smokers' Rights and Maggie is with the Tobacco Control
Legal Consortium of the Public Health Law Center.
Should we send our e-cig one-pager too? It won't be ready til Thurs or Fri.
Many thanks,
Carol
Sent: Tuesday, December 07,201010:07 AM
To: Riker, Carol A
Hi Carol,
Did you follow up on this? I don't know Bronson or Maggie, but if you can provide some contact info, I can fallow up.
John
From: Hahn, Ellen J
Sent:Thursday, December 02, 2010 6:39 AM
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
1
COLLEGE OF NURSING
Our Gr).a! !s to You ;\1:GtWZU 'fbl-lrS
From: anthonys.lockard@att.blackberry.net [mailto:anthonys.lockard@att.blackberry.netj
To: Hahn, Ellen J
From: "Hahn, Ellen J" <ejhahnOO@emai1.uky.edu>
Date: Thu,2 Dec 2010 06:22:51-0500
To: anthonys.1ockard@att.blackberry.net <tInthonys .1ockard@att.blackberry .net Betsy
Janes <hetsyj@kylung.org Tonya.chang@heart.org <ronya.chang@heart.org
Jamesmsizemore@windstream.net <r amesmsizemore@windstream.net
Brandi.gilley@gmai1.com <BrandLgilley@ gmai1.com
hoperoadwellness@hotmail.com
icenters@roadrnnner.com <icenters@roadrnnner.com Eric.evans@cancer.org <Eric.evans@cancer.org
jredmond@kycancerc.org <jredmond@kycancerc.org J ames.sharp@cancer.org<r ames.sharp@cancer.org
Kercsmar, Sarah .edu abarkley@tobaccofreekids.org<tlbarkley@tobaccofreeldds .org
Scott,
for the BOH on ecigarettes, as well as other legal issues. We were all keeping our fingers crossed. John, Scott has a great
Thanl<s,
Ellen
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
2
COLLEGE OF NURSING
OUf (,It}Dl is -to Y(Ju "yl'Jur$
From: anthonys.lockard@att.blackberry.net [mailto:anthonys.lockard@att.blackberry.netl
Sent: Thursday, December 02,20106:18 AM
Cc: Johnson, John D
Good morning,
Wolfe Co. One citizen went to a fiscal court meeting and raised the issue. The fiscal COUlt discussed it and voted
possible anywhere.
touted e-cigarettes as an effectIve means to help smokers quit. Their main argument was that they did not give
Scott
Sent via BlackBerry by AT&T .
---------- .. .. --..
From: "Hahn, Ellen r' <ejhahnOO@emai1.uky.edu>
Date: Wed, 1 Dec 2010 08:27:36 -0500
To: Betsy Janes <betsyj@kylung.org>, Tonya.chang@heart.org<ronya.chang@heart.org>,
BrandLgilley@gmail.com 43randLgilley@gmai1.com>,
hoperoadwellness@hotmail.com<hoperoadWellness@hotmail.com>,
jredmond@kycancerc.org<jredmond@kycancerc.org>, James .sharp@cancer.org<fames.sharp@cancer.org>,
Kercsmar, Sarah <>;cave2@emai1.uky.edu>,
anthonys .1ockard@att.blackberry.net<lu1thonys.1ockard@att.blackbeny .net >,
abarkley@tobaccofreekids.org 4tbarkley@tobaccofreekids.org>, Wagner,Kristian K <kkwagn3@uky.edu >
Good morning,
the only other option is to evoke the ADA. We have had success with ADA letters sent to the county officials, The person
3
I hope this helps. Again, if you would like, we can follow up with him if you send along his info!
Have a good one,
Ellen
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
COLLEGE OF NURSING
vlJf Gc;;ul l!:i: 'iCd' "rfJU
sent: Tuesday, November 30, 2010 1:25 PM
Hi Gang,
policy? Thanks.
Betsy Berns Janes
Advocacy Director
P.O. Box 9067
4100 Churchman Ave.
4
Louisville. KY 40215-1154
Office: (502) 363-2652
Cell: (502) 797-0638
betsyj@kylung.org
www.midlandlung.org
5
Spagnuolo. Amy R
Full Name:
Last Name:
First Name:
Company:
Business:
Mobile:
Business Fax:
E-mail:
E-mail Display As:
Bronson Frick
Frick
Bronson
ANR
(510) 841-3032
(510) 932-1109
(510) 841-3071
bronson.frick@no-smoke.org
(bronson.frick@no-smoke.org)
1
Spagnuolo. Amy R
Full Name:
Last Name:
First Name:
Business Address:
Business:
Business Fax:
E-mail:
E-mail Display As:
Web Page:
Mahoney, Maggie
Mahoney
Maggie
Tobacco Control Legal Consortium
875 Summit Avenue
SI. Paul, Minnesota 55105
Tel: 651-290-7514
Fax: 651-290-7515
maggie.mahoney@wmitchell.edu
Mahoney, Maggie
wwwTCLConlirie.org
1
Spagnuolo. Amy R
From: Johnson. John D
Sent:
To:
Tuesday. December 07. 2010 1 :39 PM
Hahn. Ellen J
John
From: Hahn, Ellen J
Sent: Tuesday, December 07,2010 1:31 PM
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.mc.ukv.edu/tobaccopolicy
www.kcsp.uky.edu
COLLEGE Of NURSiNG
Ou r GiG-ul is to Hu1p You tf{f;.1ul
i
zu \'burs;
To: Johnson, John D
Cc: Hahn, Ellen J
Sent from my iPhone
On Dec 7,2010, at 10:00 AM, "Johnson, John D" 1djohnson@uky.edu>wrote:
1
John
From: Hahn, Ellen J
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
Find kysmoke[ree on Twitter and Facebook !
2
<imageOO1.gif>
From: anthonys.lockard@att.blackberrv.net [mailto:anthonys.lockard@att.blackberry.netj
To: Hahn, Ellen J
One member of the group actually used his e cigarette on the sidelines of the meeting. The room
From: "Hahn, Ellen J" <ejhahnOO@email.ukv.edu>
Date: Thu, 2 Dec 2010 06:22:51 -0500
To: anthonys .lockard@att.blackberry.net <tnthonys .lockard@att.blackberry.net>, Betsy
Janes <betsyj@kylung.org>, Tonya.chang@heart.org <I'onya.chang@heart.org>,
Jamesmsizemore@windstream.net <r amesmsizemore@windstream.net>'
BrandLgilley@grnail.com <B randi .gilleY@gmail.com>,
icenters@roadrunner.com <icenters@roadmnner.com>,
jredrnond@kycancerc.org <!redrnond@kycancerc.org>,
James .sharp@cancer.org <rames.sharp@cancer.org>, Kercsmar, Sarah <scave2@email.uky.edu>,
abarkley@tobaccofreekids;org 4tbarkley@tobaccofreekids.org>, Wagner, Kristian
K <kkwagn3@uky.edu>
Cc: Johnson, John D <!djohnson@nky.edu>
Scott,
Thanks,
3
Ellen
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
<image001.gif>
From: anthonys.lockard@att.blackberrv.net [mailto:anthonys.lockard@att.blackberry.net]
Sent: Thursday, December 02, 20106:18 AM
To: Hahn, Ellen Ji Betsy Janesi Tonya.chang@heart.orgi Jamesmsizemore@windstream.neti
Brandi.gilley@gmail.comi hoperoadwellness@hotmail.comi icenters@roadrunner.comi
Eric.evans@cancer.orgi jredmond@kycancerc.orgi James.sharp@cancer.orgi Kercsmar, Sarahi
Cc: Johnson, John D
4
Good moming,
what happened in Wolfe Co. One citizen went to a: fiscal court meeting and raised the issue. The
individual to attend a fiscal COUlt meeting and share his concerns with his elected leaders to see
group there that touted e-cigarettes as an effectIve means to help smokers quit. Their main
Scott
Date: Wed, 1 Dec 2010 08:27:36 -0500
To: Betsy Janes 4>etsyj@kylung.org Tonya.chang@heart.org <I'onya.chang@healt.org
Jamesmsizemore@windstream.net <;f amesmsizemore@windstream.net
BrandLgilley@gmai1.com <Brandi.gilley@gmail.com
icenters@roadrunner.com <lcenters@roadrunner.com
jredmond@kycancerc.org .gredmond@kycancerc.org
J ames.sha!p@cancer.org <;fames .sharp@cancer.org Kercsmar, Sarah
anthonys .1ockard@att.blackberry.net <finthonys .1ockard@att.blackberry .net
abarkley@tobaccofreekids.org Wagner,Kristian
K <lckwagn3@uky.edu>
Cc: Johnson, John D.gdjohnson@uky.edu>
Subject: RE: county governntent-owned buildings
Good morning,
in our files.
5
current state law says state owned buildings must have a policy (it gives them the option of 'bad' policy
I hope this helps. Again, if you would like, we can follow up with him if you send along his info@
Have a good one,
Ellen
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
6
<image001.gif>
Sent: Tuesday, November 30, 2010 1:2S PM
To: Tonya.chang@heart.org; Jamesmsizemore@windstream.net; BrandLgilley@gmail.com; Hahn, Ellen J;
jredmond@kvcancerc.org: James.sharp@cancer.org; Kercsmar, Sarah;
anthonys.lockard@att.blackberry.net; abarkley@tobaccofreekids.org; Wagner, Kristian K
SUbject: county government-owned buildings
Hi Gang,
He has severe COPD and has trouble when he has to go in there. Is it correct that each county dictates
Betsy Berns Janes
. Advocacy Director
P.O. Box 9067
4100 Churchman Ave.
Office: (502) 363-2652
Cell: (502) 797-0638
betsyj@kylung.org
www.midlandlung.org
7
<image002.gif>
8
Spagnuolo. Amy R
Sent:
To:
Tuesday, December 07,201010:17 AM
Hahn, Ellen J
Attachments: Madison -Board-gives-first approval to smoking ban changes. pdf
This may be old news now, but here is an article from the Richmond Register:
http://richmondregister.com!localnews!x278365462!Board-gives-first-approval-to-smoking-ban-changes
From: Hahn, Ellen J
To: Johnson, John D
Subject: FW: county government-owned buildings
Can you get any media from Richmond that covered this decision in Madison? Thanks!
Ellen
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.mc.uky.edu!tobaccopolicy
www.kcsp.uky.edu
COLLEGE OF NURSING
Our Q(}u! it; to Hulp You iRoa!!z(;.1 'rDurt:
Cc:Johnson,John D
Good moming,
1
possible anywhere.
touted e-cigarettes as an effectIve means to helpsmokers quit. Their main argument was that they did not give
Scott

Date: Wed, 1 Dec 2010 08:27:36 -0500
To: Betsy Janes <tetsyj@kylung.org >, Tonya.chang@heart.org<I'onya.chang@heart.org>,
Jamesmsizemore@windstream.net<Tamesmsizemore@windstream.net>,
Brandi.gilley@gmail.com<Brandi.gilley@gmail.com>,
icenters@roadrunner.com <icenters@roadrunner.com>, Eric.evans@cancer.org<Eric.evans@cancer.org >,
jredmond@kycancerc.org<jredmond@kycancerc.org>, James .sharp@cancer.org<Tames.sharp@cancer.org >,
Kercsmar, Sarah <Scave2@email.uky.edu>,
anthonys .lockard@att.blackberry.net <1tnthonys .lockard@att.blackberry .net >,
abarkley@tobaccofreekids.org <1tbarkley@tobaccofreekids.org>, Wagner,Kristian K <lckwagn3@uky.edu >
Subject: RE: connty government-owned buildings
Good morning,
State buildings are under the jurisdiction of state law (thus, the Frankfort ordinance does not cover state or federal
owned buildings must have a policy (it gives them the option of 'bad' policy including smoking rooms),
Have a good one,
Ellen
2
751 Rose Street
859-257-2358
859-323-1057
www.kcsp.uky.edu
COLLEGE OF NURSING
OU r Goal It: if} Hfi.'fJp You 'vbU($i
hoperoadwellness@hotmail.com; icenters@roadrunner.comi Eric.evans@cancer.org; Betsy Janes;
jredmond@kycancerc.orgi James.sharp@cancer.orgi Kercsmar, Sarahi anthonys.lockard@att.blackberry.neti
Hi Gang.
policy? Thanks.
Betsy Berns Janes
Advocacy Director
P.O. Box 9067
4100 Churchman Ave.
Office: (502) 363-2652
Cell: (502) 797-0638
betsyj@kylung.org
www.midlandlung.org
3
Board gives first approval to smoking ban changes Local News The Riclunond Register Page 1 of 2
REGISTER
Yoor local news source since 1 917.
Board gives first approval to
smoking ban changes
By Lorie Love Hailey
Register Editor
December3,2010
BEREA - The Madison County Board of Health approved first reading Wednesday of an amended
Clean Indoor Air Regulation policy which will prohibit use of e-cigarettes in public places.
The amendment also provides stricter definitions about where smoking is allowed and an amended
definition of smoking.
Previously, the order defined smoking as "inhaling, exhaling, burning or carrying any lighted cigar,
cigarette, pipe, or other combustible tobacco product."
If the amended regulation passes on second reading, smoking will be defined as "inhaling, exhaling,
burning or carrying any lighted or heated cigar, cigarette or pipe, or any other lighted or heated tobacco
or plant product intended for inhalation, in any manner or in any form. Smoking also includes the use of
an e-cigarette, which creates a vapor, in any manner or in any form, or the use of any oral smoking
device for the purpose of circumventing the prohibition of smoking in this article."
A definition of e-cigarettes was added to the regulation, calling an e-cigarette "any electronic oral
device, such as one composed of a heating element, battery and/or electronic circuit, which provides a
vapor of nicotine or any other substances, and, the use or inhalation of which simulates smoking. The
term shall include any such device, whether manufactured, distributed, marketed, or sold as an e-
cigarette, e-cigar, e-pipe, or under any other produce name of descriptor." .
Several Madison County residents spoke against the amendment, telling health board members that e-
cigarettes had helped them break their smoking habit.
Larry Conner said he had smoked for years and even developed chronic obstructive pulmonary
disease (COPD). After trying e-cigarettes, he has been "completely off cigarettes for two months," and
has stopped wheezing and coughing.
"There is no smell, no odor. I don't agree with them (e-cigarettes) being lumped in with cigarettes," he
said. "It is not the same thing."
Conner said with e-cigarettes, a water vapor is exhaled.
"There is no second-hand anything," he said.
Jerry Hacker of Richmond agreed, saying e-cigarettes had helped him become tobacco-free.
"There is no second-hand smoke," he said. "There is no combustion, and no smoke, therefore, no
second-hand smoke."
http://riclunondregister.com/localnews/x278365462IBoard-gives-first -approval-to-smokin... 1217/2010
Board gives first approval to smoking ban changes Local News The Richmond Register Page 2 of 2
Hacker said including e-cigarettes in the regulation would hinder people from using the product to stop
smoking tobacco.
"I could be smoking one right now and you'd never know it if you weren't looking at me," he said.
Board member Dr. John Johnstone said the board has "hard data that says you can't smell it, but it's
there."
"There are toxins you can't see or smell, but they are still present," added board chair Dr. Stuart Tobin.
"There is no data that can prove that they're safe."
Hacker said there was no data to prove e-cigarettes were not safe.
The amendment also redefined private club, and deleted the exemption for where smoking is not
regulated. The exemption had read that smoking was not regulated in "retail tobacco stores provided
that smoke from these places does not infiltrate into areas where smoking is prohibited under the
provisions of this regulation."
In'making the amendments for a private club, board members said they were trying to eliminate smoke
shops, private clubs that are created for temporary purposes to allow smoking and to prevent hookah
bars from opening in Madison County.
The new definition states that a private club "means an organization, whether incorporated or not,
which is the owner, lessee or occupant of a building or portion thereof used exclusively for club
purposes at all times, which is operated solely for a recreational, fraternal, social, patriotic, political,
benevolent, or athletic purpose, but not for pecuniary gain, and which only sells alcoholic beverages
incidental to its operation. The affairs and management of the organization are conducted by a board
of directors, executive committee, or similar body chosen by the members at an annual meeting. The
meeting organization has established bylaws andlor a constitution to govern its activities. The
organization has been granted an exemption from the payment of federal income tax as a club under
26 U.S.C. Section 501."
The board first proposed the amendment in an October meeting. Public Health Director Nancy Crewe
then sent the proposed changes to County Attorney Marc Robbins for review.
Crewe said Robbins had no opposition to the language of the amendment.
The board likely will have second reading of the regulation at its April board meeting.
Lorie Love Hailey can
be reached at editor@
richmondregister.com or 624-6690.
$54.99
MMF Indus!rles
40-Key Slotted Cabinet
The Richmond Register 380 Big Hill Ave. Richmond, KY 40475
See aU thE> deals O'
1215 -12111
http://richmondregister.com/locaInews/x2783654621B0ard-gives-first-approval-to-smokin... 12/7/2010
Spagnuolo, Amy R
Sent:
To:
Tuesday, December 07,201010:07 AM
Riker, Carol A
Hi Carol,
Did you follow up on this? I don't know Bronson or Maggie, but if you can provide some contact info, I can follow up.
John
From: Hahn, Ellen J
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
COLLEGE OF NURSING
OlJ r GO!l;l1 i5 tn Hdp You if10Hh':(;1
To: Hahn, Ellen J
One member ofthe group actually used his e cigarette on the sidelines of the meeting. The room was so packed
1
From: "Hahn, Ellen J" .edu >
Date: Thu, 2 Dec 2010 06:22:51 -0500
To: anthonys.lockard@att.blackberry.net <ttnthonys .lockard@att.blackberry.net>, Betsy
Janes <betsyj@kylung.org>, Tonya.chang@heart.org<ronya.chang@heart.org>,
Brandi.gilley@gmail.com<Brandi.gilley@gmail.com>,
hoperoadwe1lness@hotmail.com41operoadwellness@hotmail.com>,
jredmond@kycancerc.org<jredmond@kycancerc.org>, J ames.sharp@cancer.org<fames.sharp@cancer.org>,
Kercsmar, Sarah <scave2@email.uky.edu>, abarkley@tobaccofreekids.org <ttbarkley@tobaccofreekids.org>,
Scott,
Thanks,
Ellen
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.mc;uky.edu/tobaccopolicy
www.kcsp.uky.edu
COllEGE OF NURSING
OUf Gc,;jlls to HOirJ l1Jd iRQahzu )lJUf!!i
To: Hahn, Ellen Ji Betsy Janesi Tonya.chang@heart.orgi Jamesmsizemore@windstream.neti Brandi.gilley@gmail.comi
hoperoadwellness@hotmail.comi icenters@roadrunner.comi Eric.evans@cancer.orgi jredmond@kycancerc.orgi
James.sharp@cancer.orgi Kercsmar, Sarahi abarkley@tobaccofreekids.orgi Wagner, Kristian K
Cc: Johnson, John D
2
Good morning,
possible anywhere.
touted e-cigarettes as an effectlve means to help smokers quit. Their main argument was that they did not give
Scott
Date: Wed, 1 Dec 2010 08:27:36 -0500
To: Betsy Janes <betsyj@kylung.org>, Tonya.chang@heart.org<I'onya.chang@heart.org>,
Jamesmsizemore@windstream.net <f amesmsizemore@windstream.net>'
Brandi.gilley@gmail.com <Brandi.gilley@gmail.com>,
hoperoadwellness@hotmail.com<hoperoadwellness@hotmail.com>,
icenters@roadrunner.com <lcenters@roadrunner.com>, Elic.evans@cancer.org<Eric.evans@cancer.org>,
jredmond@kycancerc.org<jredmond@kycancerc.org >, James .sha1p@cancer.org <f ames.sha1p@cancer.org>,
Kercsrnar, Sarah <l;cave2@email.uky.edu>,
anthonys .lockard@att.blackberry .net <m1thonys .lockard@att.blackberry.net >,
abarkley@tobaccofreekids .org >, Wagner,Kristian K <kkwagn3@uky.edu>
Good morning,
Have a good one,
Ellen
3
751 Rose Street
Lexington, I(Y 40536-0232
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
COLLEGE OF NURSING
OU r Goal is R1 t-l:;l'!p You
Sent: Tuesday, November 30,2010 1:25 PM
hoperoadwellness@hotmail.com; icenters@roadrunner.com; Eric.evans@cancer.org; Betsy Janesi
jredmond@kycancerc.orgi James.sharp@cancer.orgi Kercsmar, Sarah; anthonys.lockard@att.blackberry.neti
Hi Gang,
po licy? Than ks.
Betsy Berns Janes
Advocacy Director
P.O. Box 9067
4100 Churchman Ave.
Office: (502) 363-2652 .
Cell: (502) 797-0638
betsyj@kylung.org
www.midlandlunq.orq
4
Spagnuolo, Amy R
Sent:
To:
Tuesday, December 07, 2010 10:05 AM
Hahn, Ellen J
Cc: Riker, Carol A
It looks like there was an assessment done for Morgan, but I didn't see a date.
John
From: Hahn, Ellen J
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
COLLEGE OF NURSING
OU r lt1 '\Q Y{jlJ
To: Hahn, Ellen J
1
- - - . - - ~ - - - ~ . - ~ . - - - ~ " - - . - . - . - - . - ~ - - - . - -
From: "Hahn, Ellen J" <ejhahnOO@emaiLuky.edu>
Date: Thu, 2 Dec 2010 06:22:51-0500
To: anthonys.lockard@att.blackberry .net <1lllthonys.lockard@att.blackberry.net>, Betsy
Janes <betsyj@kylung.org>, Tonya.chang@heart.org<I'onya.chang@heart.org>,
J amesmsizemore@windstream.net <ramesmsizemore@windstream.net>,
Brandi.gilley@gmail.com <Brandi.gilley@gmaiLcom>,
icenters@roadrunner.com <!.centers@roadrunner.com>, Eric.evans@cancer.org<Eric.evans@cancer.org>,
jredmond@kycancerc.org.gredmond@kycancerc.org>, J ames.shatp@cancer.org<rames.shatp@cancer.org>,
Kercsmar, Sarah <Scave2@emaiLuky.edu>, abarkley@tobaccofreekids.org<abarkley@tobaccofreekids.org>,
Wagner, KristianK 4<kwagn3@uky.edu>
Scott,
Thanks,
Ellen
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
COLLEGE OF NURSING
CU r G(A11 it; to rioip Yuu HtXlhzo 'fbur;;;
From: anthonys.!ockard@att.blackberry.net [mailto:anthonys.lockard@att.blackberry.net]
Cc: Johnson, John D
2
Good morning,
Sometimes all that has to be done is to bring the sitnation to the fiscal court's attention. This is what happened in
Wolfe Co. One citizen went to a fiscal court meeting and raisei1 the issue. The fiscal court discussed it and voted
possible anywhere.
touted e-cigarettes as an effective means to help smokers quit. Their main argument was that they did not give
Scott
From: "Hahn, Ellen J" <t:jhahnOO@email.uky.edu>
Date: Wed, 1 Dec 2010 08:27:36 -0500
To: Betsy Janes <tJetsyj@kylung.org?, Tonya.chang@heart.org<fonya.chang@heart.org?,
J amesmsizemore@windstream.net <T amesmsizemore@windstream.net?,
BrandLgilley@gmail.com 43randLgilley@gmail.com?,
hoperoadwellness@hotmail.com <hoperoadwellness@hotmail.com?,
icenters@roadrunner.com <icenters@roadrunner.com?, Eric.evans@cancer.org<Eric.evans@cancer.org?,
jredmond@kycancerc.org.gredmond@kycancerc.org?, James .sharp@cancer.org <T ames.sharp@cancer.org?,
Kercsmar, Sarah <scave2@email.uky.edu?,
anthonys .lockard@att.blackberry.net <1mthonys .loc kard@att.blackberry.net?,
abarkley@tobaccofreekids.org<1lbarkley@tobaccofreekids.org?, Wagner,Kristian K <!ckwagn3@uky.edu>
Good morning,
Have a good one,
Ellen
3
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
COLLEGE OF NURSING
Our G c ~ 1 it} to 1'+:..11[; YO'LI ff\oulize Yours
Sent: Tuesday, November 30,2010 1:25 PM
Subject: county government-owned biJildings
Hi Gang,
policy? Thanks.
Betsy Berns Janes
Advocacy Director
P.O. Box 9067
4100 Churchman Ave.
Office: (502) 363-2652
Cell: (502) 797-0638
betsyj@kylung.org
www.midlandlung.org
4
Spagnuolo. Amy R
From:
Sent:
To:
Cc:
Subject:
Attachments:
tobacco_prevention [tobacco_prevention@listserv.ky.gov]
Monday, December 06,20101 :48 PM
tobacco -prevention
tobacco_prevention@listserv.ky.gov
Monday Memo
Low_SES_Booklet[1].pdf; Menthol flavoring report.pdf; CooperClaytonFa.ation12-10.doc;
Directions to University Club.doc
Cooper/Clayton Facilitator Training - see attachments!
Cooper/Clayton Calendars - if you have not already done so, - PLEASE SEND IT UPCOMING
CLASS SCHEDULES AS SOON AS POSSIBLE!!!
December Conference Call December's Conference call will be tomorrow, December 7 at 9:30
EST, 8:30 CST. It is a thirty minute call with Drs. Cooper and Clayton with updated information
regarding the Cooper/Clayton Method to Stop Smoking. Call in number is 1-866-889-3903, the
participant code is 515701#. There is no presentation for this conference call. Here is the uri link to
the survey for December's conference call.
http://www.surveymonkey.com/s/Y8JSZNG
Anxiety Keeps Some Smokers from Quitting
Nervous people smoke more than other people. More breaking news: they also find it harder to quit. Those
may not be the kinds of insights that get the attention of the Nobel committee, but a new study in the journal
Addiction shows how even so straightforward an idea may yield lifesaving benefits.
The chemistry of nicotine packs a powerful addictive wallop; if it didn't, tobacco wouldn't be such a hard
substance to quit. Still, plenty of people do quit; what's always puzzled epidemiologists is why a hard core
group can't. In the U.S., which leads the world in driving smoking rates down, 20% of the population still lights
up. That may be less than half of what it was back in the ashtray-in-every-room Mad Men era, but it also
means that more than 50 million Americans continue to smoke, even if they have to huddle outside office
buildings or in parking lots to do it. Psychologist Megan Piper of the University of Wisconsin-Madison Center
for Tobacco Research and Intervention (UW-CTRI) wanted to determine what keeps these dead-enders
hooked.
Piper and her colleagues studied a sample group of people who had enrolled in a free UW-CTRI smoking
cessation program. Of the 1,504 subjects, about one-third met the criteria for an anxiety diagnosis currently or
in the past - nearly twice the incidence of anxiety in the population as a whole. Panic attacks were the most
common form of anxiety, affecting 455 of the participants, followed by social anxiety (199 people) and
generalized anxiety disorder (99). Some of the subjects had more than one condition.
Piper believes that underlying anxiety conditions may explain why nicotine lozenges and patches, which can
1
be extremely effective in helping many smokers quit, seem to have far less effect on others. If it's anxiety that
drove those people to smoke in the first place, nicotine supplements will satisfy only one part of their addiction
- the chemical part. They'll do nothing for the emotional component.
So temperamentally dependent are anxious smokers that many, according to Piper, start to suffer withdrawal
symptoms even before they actually quit - as if the dread of facing the world without a smoke is enough to
trigger the cold-turkey experience. Bupropion (an antidepressant marketed as Zyban) also does not seem to
do much to help anxious smokers quit, though it is not entirely clear why.
None of this means that anxious smokers who want to stop are without recourse. Piper believes that all doctors
treating smokers should assess them for anxiety too. If a condition is diagnosed, proper therapy can be doubly
beneficial - helping patients ease their angst and kick the butts.
For more information, see web link:
TIME October 26. 2010
Electronic Cigarettes are Increasing in Popularity but May Carry Risks
Electronic Cigarettes are becoming increasingly popular among people who want to quit smoking, but an
opinion piece released in the journal Annals of Internal Medicine highlights the potential hazards of e-
cigarettes, suggesting they may not be as benign as they may seem.
In the paper, the authors wrote that the devices pose several health concerns: "First, e-cigarettes may pose a
risk as starter products for nonusers of tobacco. Although candy-flavore'd tobacco products and e-cigarettes
were recently banned by the FDA in efforts to hinder marketing toward children, the posturing of e-cigarettes
as 'green' and 'healthy' could deceptively lure adolescents. E-cigarettes also may represent a way for
adolescents and adults to skirt smoke-free indoor air laws." Read more ...
Survival Benefit of Smoking Cessation High After MI
Smoking cessation after myocardial infarction (MI) resulting in left ventricular (LV) dysfunction lowers all-cause
mortality risk more than many pharmacologic interventions, according to a study in the American Journal of
Cardiology.
Amil M. Shah, M.D., of Brigham and Women's Hospital in Boston, and colleagues conducted a randomized
trial of 2,231 subjects with LV dysfunction three to 16 days after MI. Smoking status was assessed at trial entry
and at regular intervals over a median 42-month follow-up. The purpose of the siudy was to assess the benefit
of smoking cessation versus continued smoking in this population at high risk for death and recurrent MI.
The researchers found that, in subjects who smoked at baseline and survived to six months without interval
cardiac events, smoking cessation at six-month follow-up was associated with a significantly lower all-cause
mortality risk (hazard ratio [HR], 0.57). Read more ...
Specialized Interventions Help Latinos Quit Smoking
Latinos who live the United States are more likely to quit smoking when they take part in an intervention
program, finds a systematic review of studies conducted by Monica Webb Hooper, Ph.D., and colleagues at
2
the University of Miami.
According to U.S. Census data, Latinos are the largest, fastest growing minority population in the country.
Webb said that Latinos tend to smoke at rates lower than whites and African-Americans; however, the longer
Latinos remain in this country, the greater the likelihood of picking up the habit. Rates of smoking among many
Latino immigrant communities here are higher than in their home countries.
"We found evidence that the odds of quitting were significantly greater for those who received the intervention
than for those in the control groups," Webb said. Read more ...
Study: Risks: Smokers Found More Prone to Dementia
Middle-aged smokers are far more likely than nonsmokers to develop dementia later in life, and heavy smokers
- those who go through more than two packs a day - are at more than double the risk, a new study reports.
Researchers analyzed the data of 23,123 health plan members who participated in a voluntary exam and
health behavior survey from 1978 to 1985, when they were 50 to 60 years old.
After adjusting for other factors, the researchers concluded that pack-a-day smokers were 37 percent more
likely than nonsmokers to develop dementia, and the risks went up sharply with increased smoking; 44 percent
for one to two packs a day; and twice the risk for more than two packs. Read more ...
U.S. Cigarette Warning Labels Designed to Grab Smokers' Attention
Twenty-five years have passed since the last update to cigarette warning labels. In an attempt to re-establish a
decline in U.S. smoking rates, the Food and Drug Administration (FDA) earlier this month unveiled larger and
more visible graphic warning labels designed to raise greater awareness about the risks of smoking. Some of
the 36 images include a depiction of an emaciated lung cancer patient, a breastfeeding mother blowing smoke
in the baby's face, a corpse in a morgue, and a smoker injecting a cigarette in the arm like a hypodermic
needle.
The FDA will take public comment about the new labels through January 9, 2011, and will choose the final nine
by June. Beginning October 22, 2011, manufacturers will then be required to use the graphic warning labels on
all cigarettes sold in the U.S.
Reactions to the proposed new cigarette warning labels are mixed. While sorne argue that the use of fear will
not work and may even backfire, others applaud the use of stronger images. A number of other countries,
including Canada, Malaysia, Australia, and Brazil, already have graphic warning labels on cigarettes. In fact,
some studies suggest that the use of stronger, more upsetting irnages may lead to greater quitting success.
Read rnore ...
WHO: Secondhand Smoke Kills 600,000 a Year
December 1, 2010
Research Summary
In the first such global study of its kind, the World Health Organization (WHO) has determined that one out of a
hundred deaths each year worldwide is caused by secondhand smoke exposure, amounting to about 600,000
deaths a year, Reuters reported Nov. 26.
Overall, 47% of deaths frorn second-hand smoke occurred in women, 28% in children, and 26% in men.
3
Researchers led by Dr. Annette Pruss-OstGn of the WHO's Public Health and the Environment Department
based their findings on comparative risk assessments from 192 countries, during 2004 -- when data were
sufficient to assess exposure to secondhand smoke.
Children were most likely to be exposed to secondhand smoke, usually at home. Approximately 165,000
children died per year as a result. Hardest hit were children in poor and middle-income countries, particularly
those in Africa and Asia, where infectious disease and tobacco exposure combined to have the deadliest
impact on child mortality.
Conversely, deaths from passive smoking among adults were spread evenly across countries, regardless of
living standards. .
Pruss-OstGn hoped the findings would serve as a catalyst for countries to enforce the WHO's Framework
Convention on Tobacco Control, a global initiative aimed at reducing the burden of tobacco-related disease by
increasing taxes on tobacco products, banning tobacco advertising, eliminating smoking in public places, and
making packs less commercially attractive.
"Policy-makers should bear in mind that enforcing complete smoke-free laws will probably substantially reduce
the number of deaths attributable to exposure to second-hand smoke within the first year of its implementation,
with accompanying reduction in costs of illness in social and health systems," she said.
The study was published online in the Lancet Nov. 26.
SecondHand Smoke Damages Hearing
November 30, 2010
Research Summary
Exposure to tobacco smoke leads to hearing loss, even in nonsmokers, according to a Nov. 16 BSC News
report. .
In a recent study by University of Miami and Florida International University investigators, 3,307 nonsmokers
(both former smokers and those who never smoked) underwent hearing tests and blood screens for cotinine, a
metabolite produced by the body in response to nicotine.
Results revealed that participants exposed to environmental tobacco smoke had significantly poorer hearing-
test results.
In fact, passive smoking reduced the ability to hear across all frequencies by roughly one-third.
Dr. David Fabry, former chief of audiology at the University of Miami Miller School of Medicine and lead author
of the study, said the degree of exposure necessary to affect hearing remains unclear.
"We really do not know exactly how much smoke you need to be exposed to in order to be at increased risk.
But we do know that the threshold for damage is very low."
One thing is certain, according to Dr. Ralph Holme, head of biomedical research at London's Royal National
Institute for Deaf People. "Hearing loss can often be very frustrating and lead to social isolation.
"Before you next light up a cigarette, consider how it could impact not only on your own long-term hearing but
your friends' and relatives', too."
4
The study was published online Nov. 15 in the journal Tobacco Control.
Black Smokers May Face Higher Death Risk Than Whites: CDC
Missouri study shows significant racial gap in mortality from heart disease, cancer
By Robert Preidt
Wednesday, November 24, 2010
WEDNESDAY, Nov. 24 (Health Day News) -- A study conducted in Missouri suggests that smoking may be
even more lethal for blacks than it is for whites.
In fact, researchers say the smoking-related death rate for blacks is nearly one-fifth higher than it is for whites
in that state.
The study was conducted by researchers at the Office on Smoking and Health at the U.S. Centers for Disease
Control and Prevention. They analyzed data from 2003-2007 found that the average annual smciking-
attributable death rate was 358 per 100,000 for blacks in Missouri and 286 per 100,000 for whites, a difference
of 18 percent.
That racial difference was larger among men (28 percent) than among women (11 percent).
Blacks had a 26 percent higher smoking-related death rate for cancer and a 53 percent higher smoking-related
death for circulatory diseases, but a 32 percent lower smoking-related death rate for respiratory diseases.
Overall, smoking caused about a third of all cancer deaths, 15.3 percent of all circulatory disease deaths, and
46.5 percent of all respiratory disease deaths in Missouri between 2003 and 2007, according to the study.
The findings appear in this week's issue of Morbidity and Mortality Weekly Report.
Based on the data, the CDC says that "states should continue to implement population-wide tobacco control
interventions [e.g., quitlines, smoke-free policies, and increased excise taxes on tobacco products] that reach
all racial groups."
SOURCE: U.S. Centers for Disease Control and Prevention, news release, and Mortality and Morbidity Weekly
Report Nov. 24, 2010
Quitline Coordinator
Tobacco Prevention and Cessation Program
Department for Public Health
275 E. Main Street, Mail Stop HS1EE
Frankfort, KY 40621
(502) 564-9358, ext. 3817
5
ThiS e-mail.includlnganyattachments.lslntended only for the use of the Individual or entity to which It is addressed and may contain confidential information that is legally
privileged and exempt from dlsdosure under appUcabte taw. If the reader of this message Is not the intended recipient, you are notified that any review, use, disclosure,
distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender by replv e-mail and destroy all
copies of the original message.
6
Cooper Clayton Method to Stop Smoking Facilitator Training
Monday, December 13, 2010
Program Description
I
I
Participants will be trained to facilitate the
Cooper/Clayton program, a comprehensive behavioral
smoking-cessation program for smokers using nicotine
replacement products. .
r Cost
This training is provided at No Cost.
Participants who plan to facilitate classes need to purchase a
Fac/litator Kit consisting of a VHS tape or DVD, Facilitator
Guide and 24 partiCipant books.
Kits are available for $200 each.
Checks should be payable to: Kentucky Cancer Program.
Purchase orders will be accepted. Checks only.
I Target Audience
Any health or wellness professional, educator, or non-smoker
who has a genuine interest in helping people become non-
smokers is welcome.
o In order to become a Cooper/Clayton Facilitator, you must
* be a non-smoker for at least one year
* complete the Cooper/Clayton Facilitator Training
* acquire the necessary program information
* agree to conduct a session within a year.
Agenda for Monday, December 13, 2010
8:30 - 9:00
9:00-12:00
12:00 -1:00
1:00 - 2'30
2:30- 3:30
3:30
(Eastern Time)
RegistrationlWelcome
Nicotine Replacement Part I
Lunch (provided)
Nicotine Replacement Part II
FaCilitating Classes in Your Community
A d' F Tt t C t'fi t' war mg aCllaor er Ilca Ion
. I Objectives -I
1. Review the characteristics of mood altering drugs.
2. Discuss the principal actions of nicotine on the body.
3. Describe a mechanism for the use of alternate nicotine
sources in smoking cessation.
4. Discuss a process for nicotine reduction therapy.
5. Identify ways to assist the smoker in relapse prevention.
6. Discuss implementation strategies for community smoking
cessation group classes
7. Explore procedures for organizing & conducting a program.
8. Identify resources available to facilitators and class
participants.
r Presenters
Thomas M. Cooper, DMD, DDS, is an ex-smoker who
developed the Cooper/Clayton Smoking Cessation
Program. He is a well-known authority regarding smoking
cessation. He has presented numerous seminars
throughout the United States and has written extensively
regarding smoking cessation.
Pam Temple Jennings, BA, is a Kentucky Cancer Program
Regional Cancer Control Specialist
Location and Directions
University Club - Belknap Campus University of
Louisville,
2001 South Brook,
Louisville, KY 40208.
See attached directions
For more information contact:
Kentucky Cancer Program
Louisville, KY
502-852-6318
Registration Form:
Registration Deadline is December 10,2010
Name:
Phone:
Address: Fax:
E-mail:
# of facilitator kits you would like to
Employer: purchase ($200 each)
Mail, Fax or Email to: Kentucky Cancer Program Fax: (502) 852-4554
501 E. Broadway, Suite 160 E-mail:
Louisville, KY 40202 gam.temgleiennings@louisville.edu
Directions
The University Club's campus street address is 2001 South Brook, Louisville, KY 40208. Please
refer to the detailed directions and map shown below, if driving to the the club.
/-65 from The North
1-65 South to Arthur Street exit; follow Arthur Street to the stop sign and turn right onto
Brandeis/Cardinal Blvd; follow Brandeis (which becomes Cardinal Boulevard one block later)
throug h to traffic light; after the 2nd traffic light, turn left onto UofL campus (sign will say
Belknap Campus North Entrance); go to the stop sign and turn left; follow this street to the
University Club and Alumni Center; parking is on the left of the building.
1-65 from The South
1-65 North to Eastern Parkway West; go right on Eastern Parkway to Third Street and turn right;
follow Third Street to Cardinal Boulevard and turn right; follow Cardinal Boulevard to the next
right and turn onto campus (sign will say Belknap Campus North Entrance); go to the stop
sign and turn left; follow this street to the University Club and Alumni Center; parking is on the
left of the building.
From Highlands-Eastern Parkway-Bardstown Road
From Bardstown Road take Eastern Parkway to Third Street and turn right; follow Third Street to
Cardinal Boulevard and turn right; follow Cardinal Boulevard to the next right and turn onto
campus (sign will read Belknap Campus North Entrance); go to the stop sign and turn left;
follow this street to the University Club and Alumni Center; parking is on the left of the building.
Map
Univcrsitr
Club
Student
A{.ltivitics
Center
Spagnuolo, Amy R
From:
Sent:
To:
Subject:
Riker, Carol A
Friday, December 03, 2010 11:32AM
Hahn, Ellen J; Fallin, Amanda T; Mundy, Monica E; Wagner, Kristian K; Johnson, John D;
Ricks, Janelle
FW: riker@email.uky.edu has shared: Board gives first approval to smoking ban changes
Article on first reading on amendments at Madison.
Carol
From: ShareThis [mailto:notifier@bounces.sharethis.comJ On Behalf Of riker@email.uky.edu
Sent: Friday, December 03,2010 11:31 AM
To: Riker, Carol A
Subject: riker@email.uky.edu has shared: Board gives first approval to smoking ban changes
Board gives first approval to smoking ban changes
Source: richmondregister.com
The Madison County Board of Health approved first reading Wednesday of an amended
Clean Indoor Air Regulati?n which prohibit use of in public places .1.
The amendment also provIdes stncter defimtlons about where smokmg IS allowed and an .
amended definition of smoking.
Previously, the order defined smoking as "inhaling, exhaling, burning or carrying any
lighted cigar, cigarette, pipe, or other combustible tobacco product."
riker@email.uky.edusentthisusing ShareThis.
1
Spagnuolo. Amy R
Sent:
To:
Thursday, December 02,201010:09 PM
Fallin, Amanda T
Subject: FW: county government-owned buildings
Looks like voting is an option on the courthouse issue ... see below.
Sarah Kercsmar, PhD
Covington, KY 41011
859-261-1721 (office)
859-312-5856 (cell)
rsJ; please keep this email paperless
Sent: Thursday, December 02, 20106:18 AM
To: Hahn, Ellen Ji Betsy Janesi Tonya.chang@heart.orgi Jamesmsizemore@windstream.neti Brandi.gilley@gmail.comi
hoperoadwellness@hotmail.comi icenters@roadrunner.comi Eric.evans@cancer.orgi jredmond@kycancerc.orgi
James.sharp@cancer.orgi Kercsmar, Sarahi abarkley@tobaccofreekids.orgi Wagner, Kristian K
Cc: Johnson, John D
Good morning,
Sometimes all that has to be done is to bring the sitnation to the fiscal court's attention. This is what happened in
to make the courthouse smoke free. I would encourage the individual to attend a fiscal court meeting and share.
possible anywhere.
touted e-cigarettes as an effectIve means to help smokers quit. Their main argument was that they did not give
Scott
From: "Hahn, EllenJ"
Date: Wed, 1 Dec 2010 08:27:36 -0500
To: Betsy Janes <betsyj@kylung.org Tonya.chang@healt.org <Tonya.chang@heart.org
Jamesmsizemore@windstream.net <T amesmsizemore@windstream.net
BrandLgilley@gmai1.com <BrandLgilley@ gmai1.com
hoperoadwe1lness@hotmail.com <hoperoadwellness@hotmail.com
icenters@roadrunner.com <icenters@roadrunner.com Eric.evans@cancer.org<Eric.evans@cancer .org
jredmond@kycancerc.org .gredmond@ kycancerc.org James .sharp@cancer.org <Tames .shalp@cancer.org
1
Kercsmar. Sarah <scave2@email.uky.edu>,
anthonys .lockard@att.blackberry.net <lmthonys .lockard@att.blackberry.net >,
abarkley@tobaccofreekids.org <lIbarkley@tobaccofreekids.org>, Wagner,Kristian K <kkwagn3@uky.edu>
Cc: Johnson, John D <jdjohnson@uky.edu >
SUbject: RE: county government-owned buildings
Good morning,
I hope this helps. Again, if you would like, we can follow up with him if you send along his info>
Have a good one,
Ellen
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
COLLEGE OF NURSING
OUf G G ~ j l I;; to Hnl[J 'You ,qoalErn "'{burt;
From: Betsy Janes [mailto:betsyj@kylung.org)
jredrnond@kycancerc.org; James.sharp@cancer.org; Kercsmar, Sarah; anthonys.lockard@att.blackberry.net;
2
Hi Gang.
policy? Thanks.
Betsy Berns Janes
Advocacy Director
P.O. Box 9067
4100 Churchman Ave.
Office: (502) 363-2652
Cell: (502) 797-0638
betsyj@kylung.org
www.midlandlung.org
3

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